Active NPI
Crayton Fargason, M.D.
- Ophthalmology Physician
- Baton Rouge, LA
National Provider Identifier
1063462679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 009603
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1126004 | Medicaid | LA | |
| 180015625 | Other | LA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009603 | LA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Medical Center, Apmc | Current | 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.
-
- Optometrist
- Baton Rouge, LA
- NPI 1053422113
-
- Ophthalmology Physician
- Hammond, LA
- NPI 1265413306
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.