Organization Active NPI

Achord Eye Clinic LLC

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1184942401
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1095-205T Issued in LA
Legal business name
ACHORD EYE CLINIC LLC
Practice address
12726 Perkins Road
Baton Rouge, LA 70810-1910
Phone
(225) 767-3937
Fax
(225) 767-3917
NPI assigned
May 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Shonda Achord, O.D.NPI 1861593477
Title
Optometrist
Phone
(225) 767-3937

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1095-205T LA Primary

Addresses

Primary practice location

12726 Perkins Road
Baton Rouge, LA 70810-1910

Mailing address

12726 Perkins Rd
Baton Rouge, LA 70810-1910
Phone (225) 767-3937

Other identifiers 1

IdentifierTypeStateIssuer
2322613MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100830000466 LA Part B Supplier - Clinic/Group Practice 1153445044 Receives reassigned benefits from 5 practitioners
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory
Tax ID family
Achord Eye Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1184942401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12726 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101910",
            "telephone_number": "225-767-3937",
            "fax_number": "225-767-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12726 PERKINS ROAD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101910",
            "telephone_number": "225-767-3937",
            "fax_number": "225-767-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHORD EYE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "ACHORD",
        "authorized_official_first_name": "SHONDA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "225-767-3937",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1095-205T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2322613",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.