Active NPI
Ophthalmic Outpatient Surgery Center Partners, LLC
- Ambulatory Surgical Clinic/Center
- Baton Rouge, LA
National Provider Identifier
1114929957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 129
- Legal business name
- OPHTHALMIC OUTPATIENT SURGERY CENTER PARTNERS, LLC
- Practice address
- 550 Connells Park LN
Baton Rouge, LA 70806-6539 - Phone
- (225) 923-8250
- Fax
- (225) 925-0225
- NPI assigned
- Aug 11, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Charles H Williamson Jr.
- Title
- Cfo
- Phone
- (225) 925-2031
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 129 | LA | Primary |
Addresses
Primary practice location
550 Connells Park LN
Baton Rouge, LA 70806-6539
Mailing address
550 Connell Park LN
Suite B
Baton Rouge, LA 70806-6539
Phone (225) 925-2031
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4435448 | Other | LA | AETNA PIN |
| 1900220254Z | Other | LA | BC PIN |
| 1911488 | Medicaid | LA |
Other names 1
- OUTPATIENT SURGERY CENTER FOR SIGHT
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040816000591 | LA | Part B Supplier - Ambulatory Surgical Center | 2466425764 | Practice locations: Baton Rouge, LA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Ophthalmic Outpatient Surgery Center Partners LLC
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
550 Connell Park Ln
Ste B
Baton Rouge, LA 70806
Interoperability endpoints
- https://fa8a2944-9e89-456d-b21a-b14e7e571664.gastro.prod.fhir.ema-api.com/fhir/r4/
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Baton Rouge, LA
- NPI 1396740122
-
- Ophthalmology Physician
- Baton Rouge, LA
- NPI 1730822636
-
- Ophthalmology Physician
- Baton Rouge, LA
- NPI 1780817551
-
- Ophthalmology Physician
- Baton Rouge, LA
- NPI 1720370067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393372800000",
"number": "1114929957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 CONNELL PARK LN",
"address_2": "SUITE B",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066539",
"telephone_number": "225-925-2031",
"fax_number": "225-924-2809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 CONNELLS PARK LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066539",
"telephone_number": "225-923-8250",
"fax_number": "225-925-0225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPHTHALMIC OUTPATIENT SURGERY CENTER PARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-11",
"last_updated": "2014-02-26",
"status": "A",
"authorized_official_last_name": "WILLIAMSON",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "225-925-2031",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "LA",
"license": "129",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "4435448",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC PIN",
"identifier": "1900220254Z",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1911488",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "OUTPATIENT SURGERY CENTER FOR SIGHT",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.