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DR. MICHAEL WADE JORGENSEN OD LLC
NPI 1144677899
Optometrist in Benton, LA

Active since May 23, 2016
187 BURT BLVD, STE A, BENTON, LA 71006(318) 935-5080(318) 935-5085 Get Directions Write a Review

NPPES record last updated: May 23, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael Wade Jorgensen Od Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL WADE JORGENSEN OD LLC (NPI 1144677899) is a healthcare organization registered as an optometrist in Benton, Louisiana and active in the NPI registry since May 2016. The organization lists Michael Wade Jorgensen, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1144677899
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDR. MICHAEL WADE JORGENSEN OD LLC
Location Address187 BURT BLVD, STE ABenton, LA 71006-4905
Mailing Address187 Burt Blvd, Ste ABenton, LA 71006-4905 · (318) 935-5080 · Fax (318) 935-5085
Phone(318) 935-5080
Fax(318) 935-5085
Organization SubpartNo
Authorized OfficialMichael Wade JorgensenOwner/doctor · (318) 935-5080
Enumeration DateMay 23, 2016
✔ NPI 1144677899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in LA · 1590623T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
187 BURT BLVD, Benton, LA 71006
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Other Identifiers 1

Medicaid2394495LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL WADE JORGENSEN OD
Optometrist
187 BURT BLVD, STE A
BENTON, LA 71006
Bossier Parish (318) 935-5080
VISTA VISION LLC
Eyewear Supplier
187 BURT BLVD, STE A
BENTON, LA 71006
Bossier Parish (318) 935-5080

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Michael Wade Jorgensen Od LLC's NPI number?

The NPI number for Dr. Michael Wade Jorgensen Od LLC is 1144677899. It was assigned to this organization in the NPPES registry on May 23, 2016.

Where is Dr. Michael Wade Jorgensen Od LLC located?

Dr. Michael Wade Jorgensen Od LLC is located at 187 Burt Blvd Ste A, Benton, LA 71006. The listed phone number is (318) 935-5080.

What is Dr. Michael Wade Jorgensen Od LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Dr. Michael Wade Jorgensen Od LLC was last updated on May 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.