Active NPI
Retina & Vitreous of Louisiana, Inc.
- Ophthalmology Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 021851
- Legal business name
- RETINA & VITREOUS OF LOUISIANA, INC.
- Practice address
- 10202 Jefferson Hwy Ste D
Baton Rouge, LA 70809-3183 - Phone
- (225) 768-8833
- Fax
- (225) 769-4839
- NPI assigned
- Apr 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John T. Couvillion, M.D.
- Title
- President
- Phone
- (225) 768-8833
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 021851 | LA | Primary |
Addresses
Primary practice location
10202 Jefferson Hwy Ste D
Baton Rouge, LA 70809-3183
Mailing address
10202 Jefferson Hwy Ste D
Baton Rouge, LA 70809-3183
Phone (225) 768-8833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1009113 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5615 Jackson St
#B
Alexandria, LA 71303
5615 Jackson Street Ext
#B
Alexandria, LA 71303
Phone (318) 442-7787
7777 Hennessy Blvd
Ste 606
Baton Rouge, LA 70808
Phone (225) 768-8833
7777 Hennessy Blvd
Ste 209
Baton Rouge, LA 70808
Phone (225) 768-8833
7777 Hennessy Blvd
Ste 501
Baton Rouge, LA 70808
Phone (225) 767-0822
10202 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 768-8833
10202 Jefferson Hwy
Ste D
Baton Rouge, LA 70809
Phone (225) 768-8833
1600 Camellia Blvd
#B
Lafayette, LA 70508
Phone (337) 988-6442
20103 Old Scenic Hwy
Ste 2A
Zachary, LA 70791
20103 Old Scenic Hwy
Bldg 2A
Zachary, LA 70791
20103 Old Scenic Hwy
Ste A
Zachary, LA 70791
Phone (504) 481-0707
Interoperability endpoints
- wtorres@rvol.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Baton Rouge, LA
- NPI 1497762207
-
- Ophthalmology Physician
- Baton Rouge, LA
- NPI 1104827112
-
- Retina Specialist (Ophthalmology) Physician
- Metairie, LA
- NPI 1275528051
-
- Ophthalmology Physician
- Lafayette, LA
- NPI 1528026838
-
- Ophthalmology Physician
- Baton Rouge, LA
- NPI 1417134289
-
- Retina Specialist (Ophthalmology) Physician
- Hattiesburg, MS
- NPI 1467621524
-
- Retina Specialist (Ophthalmology) Physician
- Birmingham, AL
- NPI 1356343917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539216000000",
"number": "1285857607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10202 JEFFERSON HWY STE D",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093183",
"telephone_number": "225-768-8833",
"fax_number": "225-769-4839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10202 JEFFERSON HWY STE D",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093183",
"telephone_number": "225-768-8833",
"fax_number": "225-769-4839"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RETINA & VITREOUS OF LOUISIANA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-11",
"last_updated": "2018-10-11",
"status": "A",
"authorized_official_last_name": "COUVILLION",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "225-768-8833",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "LA",
"license": "021851",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009113",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
- Restore Outreach Transportation, LLC
- Restore Physical Therapy and Pelvic Health
- Restoring Hearts Ministry
- Resurrection & New Life Fellowship (RNLF Counseling Services)
- Brandon James Retif
- Retirement Center 14686 Tenant, LLC (The Retirement Center)
- Revdoc LLC (R D Industries)
- Sarah Katherine Reviel, CF-SLP
- Tremeka Williams Revish
- Maria Reyes Angeles, M.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; 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.