Organization Active NPI

Acadiana Retina Consultants, LLC

  • Retina Specialist (Ophthalmology) Physician
  • Lafayette, LA
National Provider Identifier
1003920778
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
ACADIANA RETINA CONSULTANTS, LLC
Practice address
1101 S College Rd
Suite 304
Lafayette, LA 70503-3038
Phone
(337) 232-2710
Fax
(337) 232-6824
NPI assigned
Aug 18, 2006
Last updated
Oct 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Frank J Culotta Jr., M.D.NPI 1659335545
Title
Partner
Phone
(337) 232-2710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 014728 LA
Retina Specialist (Ophthalmology) Physician 207WX0107X Primary

Addresses

Primary practice location

1101 S College Rd
Suite 304
Lafayette, LA 70503-3038

Mailing address

1101 S College Rd
Suite 304
Lafayette, LA 70503-3038
Phone (337) 232-2710

Other identifiers 1

IdentifierTypeStateIssuer
1445452MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100219000052 LA Part B Supplier - Clinic/Group Practice 7911041645 Receives reassigned benefits from 3 practitioners
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

1101 S College Rd
Ste 304
Lafayette, LA 70503
Phone (337) 232-2710

1920 W Sale Rd
Bldg F
Lake Charles, LA 70605

1110 Doctor Ac Terrence Blvd
Ste 1
Opelousas, LA 70570
Phone (337) 942-3449

Interoperability endpoints

  • Direct secure messaging: mwilliams@acadianaretina.intellechartdirect.net
  • Direct secure messaging: sgauthreaux@acadianaretina.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1003920778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S COLLEGE RD",
            "address_2": "SUITE 304",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033038",
            "telephone_number": "337-232-2710",
            "fax_number": "337-232-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S COLLEGE RD",
            "address_2": "SUITE 304",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033038",
            "telephone_number": "337-232-2710",
            "fax_number": "337-232-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIANA RETINA CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "CULOTTA",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "337-232-2710",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "014728",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1445452",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.