Organization Active NPI

Erica Durlacher OD LLC

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1255980348
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ERICA DURLACHER OD LLC
Practice address
257 Lee Dr Ste Q
Baton Rouge, LA 70808-4977
Phone
(225) 819-0120
NPI assigned
Sep 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Erica Durlacher, ODNPI 1922459395
Title
Optometrist/Owner
Phone
(225) 819-0120

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 Primary

Addresses

Primary practice location

257 Lee Dr Ste Q
Baton Rouge, LA 70808-4977

Mailing address

10197 Cal Rd
Baton Rouge, LA 70809-3257
Phone (225) 933-5289

Other practice location 1

10197 Cal Rd
Baton Rouge, LA 70809-3257
Phone (225) 933-5289

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191204002165 LA Part B Supplier - Clinic/Group Practice 7315370368 Receives reassigned benefits from 1 practitioner
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Locations

257 Lee Dr
Ste Q
Baton Rouge, LA 70808
Phone (225) 766-2952

Practitioners & affiliated clinicians

Practitioners 1

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": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1255980348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10197 CAL RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093257",
            "telephone_number": "225-933-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 LEE DR STE Q",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084977",
            "telephone_number": "225-819-0120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10197 Cal Rd",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708093257",
            "country_code": "US",
            "telephone_number": "225-933-5289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ERICA DURLACHER OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "DURLACHER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "225-819-0120",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 30, 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.