Individual provider Active NPI

Victor M Oliver, M.D.

  • Ophthalmology Physician
  • Baton Rouge, LA
National Provider Identifier
1265594543
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
012214 Issued in LA
Practice address
4848 North Blvd
Baton Rouge, LA 70806-4019
Phone
(225) 927-0180
Fax
(225) 926-3803
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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 012214 LA Primary

Addresses

Primary practice location

4848 North Blvd
Baton Rouge, LA 70806-4019

Mailing address

PO Box 66455
Baton Rouge, LA 70896-6455
Phone (225) 927-0180

Other identifiers 1

IdentifierTypeStateIssuer
1158160MedicaidLA

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
I20101006000636 LA Practitioner - Ophthalmology 5698876449 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in New Orleans, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Specialists of Louisiana LLCGroup PAC ID 6406897420, 6 clinicians

Practice addresses (Care Compare)

6220 Perkins Rd
Baton Rouge, LA 70808-4120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012214LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge Eye Physicians Ophthalmology CurrentSince Dec 31, 1969 Accepting new patients
Eye Specialists of Louisiana, LLC Ophthalmology CurrentSince Aug 4, 2021 Accepting new patients

Locations

6220 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 768-7777

4848 North Blvd
Baton Rouge, LA 70806
Phone (225) 927-0180

7777 Hennessy Blvd
Ste 3001
Baton Rouge, LA 70808
Phone (225) 768-7777

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1265594543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66455",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708966455",
            "telephone_number": "225-927-0180",
            "fax_number": "225-926-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 NORTH BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064019",
            "telephone_number": "225-927-0180",
            "fax_number": "225-926-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "VICTOR",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "012214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1158160",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.