Dr Otis J Bourg Jr, O D in Houma, LA - Medicare Optometrist Provider

Dr Otis J Bourg Jr, O D is a medicare enrolled "Optometrist" provider in Houma, Louisiana. His current practice location is 832 Belanger St, Houma, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 872-1494.

Dr Otis J Bourg Jr is licensed to practice in Louisiana (license number LA666265T) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114009313.

Contact Information

	Dr Otis J Bourg Jr, O D
	832 Belanger St, Houma, LA 70360-4408
	(985) 872-1494
	(985) 580-4422

Healthcare Provider's Profile

Full Name	Dr Otis J Bourg Jr
Gender	Male
Speciality	Optometrist
Location	832 Belanger St, Houma, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114009313
Provider Enumeration Date: 10/19/2006
Last Update Date: 03/11/2009

Medicare PECOS Information:

PECOS PAC ID: 4486841699
Enrollment ID: I20101214000011

Medical Identifiers

Medical identifiers for Dr Otis J Bourg Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114009313	NPI	-	NPPES
1094196	Medicaid	LA
110894	Other	LA	EYE MED
06110	Other	LA	SPECTERA
BO908019	Other	LA	CLARITY VISION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	LA666265T (Louisiana)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Otis J Bourg Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Otis J Bourg Jr, O D 832 Belanger St, Houma, LA 70360-4408 Ph: () -	Dr Otis J Bourg Jr, O D 832 Belanger St, Houma, LA 70360-4408 Ph: (985) 872-1494

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Optometrist in Houma, LA

Shelley Huff, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 130 Enterprise Dr, Houma, LA 70360 Phone: 985-872-2020
Nils Rege O.d., L.l.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1633 Martin Luther King Jr Blvd, Houma, LA 70360 Phone: 504-909-2800
Michelle F Sonnier, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6008 W Main St, Houma, LA 70360 Phone: 985-872-3535 Fax: 985-879-3855
Dr. Marc Roland Ardoin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 603 Dunn St, Houma, LA 70360 Phone: 985-876-6980 Fax: 985-876-6975
Dr. Nils Rege, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 933 Grand Caillou Rd, Houma, LA 70363 Phone: 504-909-2800
Philip Rice, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5953 W Park Ave, 1031, Houma, LA 70364 Phone: 985-868-0699 Fax: 985-868-0535

Dr Otis J Bourg Jr, O D - Medicare Optometrist in Houma, LA