NPIMap

Organization Active NPI

Benjamin Guidry MD LLC

Doing business as Retina Consultants of New Orleans

  • Retina Specialist (Ophthalmology) Physician
  • Metairie, LA
National Provider Identifier
1184116204
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
206778 Issued in LA
Legal business name
BENJAMIN GUIDRY MD LLC
Doing business as
Retina Consultants of New Orleans
Practice address
3636 S I 10 Service Rd W Ste 204
Metairie, LA 70001-6418
Phone
(504) 218-4936
Fax
(504) 218-8241
NPI assigned
Jun 4, 2018
Last updated
Mar 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Benjamin GuidryNPI 1770807315
Title
Owner
Phone
(504) 218-4936

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)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 206778 LA Primary

Addresses

Primary practice location

3636 S I 10 Service Rd W Ste 204
Metairie, LA 70001-6418

Mailing address

3636 S I 10 Service Rd W Ste 204
Metairie, LA 70001-6418
Phone (504) 218-4936

Other practice location 1

2600 Belle Chasse Hwy Ste G
Terrytown, LA 70056-7156
Phone (504) 218-4936

Other names 1

  • RETINA CONSULTANTS OF NEW ORLEANS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180703001255 LA Part B Supplier - Clinic/Group Practice 5496001505 Receives reassigned benefits from 8 practitioners
Practice locations: Mandeville, LA; Marrero, LA; Metairie, LA; Slidell, LA; Terrytown, LA

National Provider Directory

National Provider Directory

Locations

1580 W Causeway Approach
Ste 3
Mandeville, LA 70471
Phone (985) 624-5573

1111 Medical Center Blvd
Ste 114
Marrero, LA 70072
Phone (504) 218-4936

3636 S I 10 Service Rd W
Ste 204
Metairie, LA 70001
Phone (504) 218-4936

2600 Belle Chasse Hwy
#O
Terrytown, LA 70056
Phone (504) 218-4936

2600 Belle Chasse Hwy
Ste G
Terrytown, LA 70056
Phone (504) 218-4936

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18004/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jford@rcnola.intellechartdirect.net
  • Direct secure messaging: lestrada@rcnola.intellechartdirect.net
  • Direct secure messaging: mobyrne@rcnola.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 10

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": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1184116204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 S I 10 SERVICE RD W STE 204",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700016418",
            "telephone_number": "504-218-4936",
            "fax_number": "504-218-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 S I 10 SERVICE RD W STE 204",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700016418",
            "telephone_number": "504-218-4936",
            "fax_number": "504-218-8241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Belle Chasse Hwy Ste G",
            "address_purpose": "LOCATION",
            "city": "Terrytown",
            "state": "LA",
            "postal_code": "700567156",
            "country_code": "US",
            "telephone_number": "504-218-4936",
            "fax_number": "504-218-8241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BENJAMIN GUIDRY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "GUIDRY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-218-4936"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "LA",
            "license": "206778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RETINA CONSULTANTS OF NEW ORLEANS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.