Individual provider Active NPI

Marc Roland Ardoin, OD

  • Optometrist
  • Houma, LA
National Provider Identifier
1184891863
Registry record updated Apr 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1544-575T Issued in LA
Practice address
603 Dunn St
Houma, LA 70360-4707
Phone
(985) 876-6980
Fax
(985) 876-6975
NPI assigned
May 13, 2008
Last updated
Apr 18, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1544-575T LA Primary

Addresses

Primary practice location

603 Dunn St
Houma, LA 70360-4707

Mailing address

603 Dunn St
Houma, LA 70360-4707
Phone (985) 876-6980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080918000301 LA Practitioner - Optometry 6204903115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Texas Tech University Health Science Center School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

564 Valhi Blvd
Houma, LA 70360-5974
Phone (985) 876-6980

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1544-575TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare Specialties Optometrist CurrentSince Jul 1, 2017 Accepting new patients
Southern Eye, LLC Past Accepting new patients

Locations

564 Valhi Blvd
Houma, LA 70360
Phone (985) 447-2393

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303084800000",
    "number": "1184891863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 DUNN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604707",
            "telephone_number": "985-876-6980",
            "fax_number": "985-876-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 DUNN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604707",
            "telephone_number": "985-876-6980",
            "fax_number": "985-876-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDOIN",
        "first_name": "MARC",
        "middle_name": "ROLAND",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-13",
        "last_updated": "2011-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1544-575T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.