Organization Active NPI

Broussard Cataract & Eye Institute

  • Ophthalmology Physician
  • Monroe, LA
National Provider Identifier
1306877659
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
L014616 Issued in LA
Legal business name
BROUSSARD CATARACT & EYE INSTITUTE
Practice address
1250 Pecanland Rd
Suite E-1
Monroe, LA 71203-7011
Phone
(318) 387-2015
Fax
(318) 387-2097
NPI assigned
Jul 5, 2006
Last updated
Jun 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Authorized official

Name
Courtney Layne Gibboney
Title
Business Manager
Phone
(318) 387-2015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X L014616 LA Primary

Addresses

Primary practice location

1250 Pecanland Rd
Suite E-1
Monroe, LA 71203-7011

Mailing address

1250 Pecanland Rd Ste E-1
Monroe, LA 71203-7011
Phone (318) 387-2015

Other identifiers 2

IdentifierTypeStateIssuer
5286830001OtherLADMERC
1324159MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110112000054 LA Part B Supplier - Clinic/Group Practice 7214147370 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, LA

National Provider Directory

National Provider Directory

Locations

1250 Pecanland Rd
#E1
Monroe, LA 71203

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780963200000",
    "number": "1306877659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PECANLAND RD STE E-1",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712037011",
            "telephone_number": "318-387-2015",
            "fax_number": "318-387-2097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PECANLAND RD",
            "address_2": "SUITE E-1",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712037011",
            "telephone_number": "318-387-2015",
            "fax_number": "318-387-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROUSSARD CATARACT & EYE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A",
        "authorized_official_last_name": "GIBBONEY",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "LAYNE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "318-387-2015"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "L014616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5286830001",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1324159",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.