Individual provider Active NPI

Robert T Casanova Jr., M.D.

  • Ophthalmology Physician
  • Opelousas, LA
National Provider Identifier
1225097512
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
020117 Issued in LA
Practice address
1110 Dr Ac Terrance Blvd
Suite 1
Opelousas, LA 70570-6403
Phone
(337) 942-3449
Fax
(337) 942-6019
NPI assigned
Mar 23, 2006
Last updated
Jan 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 020117 LA Primary

Addresses

Primary practice location

1110 Dr Ac Terrance Blvd
Suite 1
Opelousas, LA 70570-6403

Mailing address

1110 Dr Ac Terrance Blvd
Suite 1
Opelousas, LA 70570-6403
Phone (337) 942-3449

Other identifiers 1

IdentifierTypeStateIssuer
1398888MedicaidLA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091229000166 LA Practitioner - Ophthalmology 8426198227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in Shreveport, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1110 Doctor Ac Terrence Blvd
Opelousas, LA 70570-6403

1110 Dr a C Terrence Blvd
Suite 1
Opelousas, LA 70570-6403
Phone (337) 942-3449

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.26 of 100Reported as individual
Quality
78.03
Improvement activities
40
Cost
73.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery391

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020117LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Retina Consultants, LLC Ophthalmology Past Accepting new patients

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1225097512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 DR AC TERRANCE BLVD",
            "address_2": "SUITE 1",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706403",
            "telephone_number": "337-942-3449",
            "fax_number": "337-942-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 DR AC TERRANCE BLVD",
            "address_2": "SUITE 1",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706403",
            "telephone_number": "337-942-3449",
            "fax_number": "337-942-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASANOVA",
        "first_name": "ROBERT",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "020117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1398888",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.