Individual provider Active NPI

Crayton Fargason, M.D.

  • Ophthalmology Physician
  • Baton Rouge, LA
National Provider Identifier
1063462679
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
009603 Issued in LA
Practice address
7777 Hennessy Blvd
Suite 4000
Baton Rouge, LA 70808-4300
Phone
(225) 766-7441
Fax
(225) 766-7597
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 009603 LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd
Suite 4000
Baton Rouge, LA 70808-4300

Mailing address

7777 Hennessy Blvd
Suite 4000
Baton Rouge, LA 70808-4300
Phone (225) 766-7441

Other identifiers 2

IdentifierTypeStateIssuer
1126004MedicaidLA
180015625OtherLARAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080606000604 LA Practitioner - Ophthalmology 2961572649 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
009603LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Medical Center, Apmc CurrentSince Jan 1, 1971 Accepting new patients
Eye Physicians & Surgeons, Inc Ophthalmology Past Accepting new patients

Locations

7777 Hennessy Blvd
Ste 4000
Baton Rouge, LA 70808
Phone (225) 766-7441

7777 Hennessy Blvd
Ste 3000
Baton Rouge, LA 70808
Phone (225) 766-7441

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1063462679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 4000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-766-7441",
            "fax_number": "225-766-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 4000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-766-7441",
            "fax_number": "225-766-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARGASON",
        "first_name": "CRAYTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "009603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1126004",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180015625",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.