Individual provider Active NPI

Suzanne Luckett, M.D.

  • Ophthalmology Physician
  • Baton Rouge, LA
National Provider Identifier
1104876739
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
020931 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
Last updated
May 22, 2008By the provider in NPPES
Sex
Female
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 020931 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
1677647MedicaidLA
180037835OtherLARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100511000264 LA Practitioner - Ophthalmology 8123117827 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in New Orleans, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Medical Center ApmcGroup PAC ID 5890783062, 16 clinicians

Practice addresses (Care Compare)

7777 Hennessy Blvd
Suite 3000
Baton Rouge, LA 70808-0302
Phone (225) 766-7441

7777 Hennessy Blvd
Suite 4000
Baton Rouge, LA 70808-0306
Phone (225) 766-7441

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery160

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020931LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Medical Center, Apmc CurrentSince Oct 15, 1999 Accepting new patients
Lsuhn Billing LLC CurrentSince Jan 1, 2018 Accepting new patients
Lsuhn Billing LLC CurrentSince Jan 1, 2018 Accepting new patients
Eye Physicians & Surgeons, Inc Ophthalmology Past Accepting new patients
Louisiana State University School of Medicine in New Orleans Faculty G Past Accepting new patients

Locations

5825 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-1000

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

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

9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

250 Hospital Rd
New Roads, LA 70760
Phone (225) 638-4428

Organizations & group practices 5

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

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": "1104876739",
    "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": "LUCKETT",
        "first_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "020931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1677647",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180037835",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.