Active NPI
Occucare International Lafayette
- Emergency Medicine Physician
- Broussard, LA
National Provider Identifier
1164956827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD.025999
- Legal business name
- OCCUCARE INTERNATIONAL LAFAYETTE
- Practice address
- 1028 Forum Dr
Broussard, LA 70518-8060 - Phone
- (337) 704-0891
- Fax
- (337) 704-0924
- NPI assigned
- Apr 19, 2017
- Last updated
- Apr 19, 2017
- 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
- Dr. Michael L Odinet, M.D.
- Title
- Chief Medical Officer
- Phone
- (337) 704-0920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD.025999 | LA | Primary |
Addresses
Primary practice location
1028 Forum Dr
Broussard, LA 70518-8060
Mailing address
1028 Forum Dr
Broussard, LA 70518-8060
Phone (337) 704-0891
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492560000000",
"number": "1164956827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1028 FORUM DR",
"city": "BROUSSARD",
"state": "LA",
"postal_code": "705188060",
"telephone_number": "337-704-0891",
"fax_number": "337-704-0924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 FORUM DR",
"city": "BROUSSARD",
"state": "LA",
"postal_code": "705188060",
"telephone_number": "337-704-0891",
"fax_number": "337-704-0924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCCUCARE INTERNATIONAL LAFAYETTE",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-19",
"last_updated": "2017-04-19",
"status": "A",
"authorized_official_last_name": "ODINET",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "337-704-0920",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "MD.025999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broussard, LA
- Leslie Guillory Moore, OT
- National Seating & Mobility, Inc.
- Nexstep Transportation, LLC
- Ngoc Kim Nguyen, PHARMD
- Allison O'Quin, NP
- Oceans Behavioral Hospital of Lafayette LLC (Oceans Hospital of Broussard)
- Oceans Behavioral Hospital of Lafayette LLC (Oceans Hospital of Broussard)
- Heidi Olivier
- On Time Medi Rides L.L.C
- Dennis Luke Ortego, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.