Organization Active NPI

Occucare International Lafayette

  • Emergency Medicine Physician
  • Broussard, LA
National Provider Identifier
1164956827
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD.025999 Issued in LA
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.