Organization Active NPI

Richard J Piccione MD Apmc

  • Ophthalmology Physician
  • Lafayette, LA
National Provider Identifier
1164642740
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD.09888R Issued in LA
Legal business name
RICHARD J PICCIONE MD APMC
Practice address
4906 Ambassador Caffery Pkwy
Ste. 701
Lafayette, LA 70508-6916
Phone
(337) 989-2600
Fax
(337) 989-2601
NPI assigned
Apr 26, 2007
Last updated
Oct 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Dr. Richard James Piccione, MDNPI 1700882917
Title
Physician
Phone
(337) 989-2600

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
Optometrist 152W00000X LA 1392-523T LA
Ophthalmology Physician 207W00000X MD.09888R LA Primary

Addresses

Primary practice location

4906 Ambassador Caffery Pkwy
Ste. 701
Lafayette, LA 70508-6916

Mailing address

4906 Ambassador Caffery Pkwy
Ste. 701
Lafayette, LA 70508-6916
Phone (337) 989-2600

Other identifiers 2

IdentifierTypeStateIssuer
BLUE CROSSOtherLA4398981580
1103942MedicaidLA

National Provider Directory

National Provider Directory

Locations

4906 Ambassador Caffery Pkwy
#G
Lafayette, LA 70508

4906 Ambassador Caffery Pkwy
Bldg G
Lafayette, LA 70508
Phone (337) 989-2600

4906 Ambassador Caffery Pkwy
Ste 701
Lafayette, LA 70508
Phone (337) 989-2600

Practitioners & affiliated clinicians

Practitioners 2

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": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1164642740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 AMBASSADOR CAFFERY PKWY",
            "address_2": "STE. 701",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086916",
            "telephone_number": "337-989-2600",
            "fax_number": "337-989-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 AMBASSADOR CAFFERY PKWY",
            "address_2": "STE. 701",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086916",
            "telephone_number": "337-989-2600",
            "fax_number": "337-989-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J PICCIONE MD APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "PICCIONE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "337-989-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "LA 1392-523T",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD.09888R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "4398981580",
            "identifier": "BLUE CROSS",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1103942",
            "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 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.