Individual provider Active NPI

Camile Louis Chiasson, OD

  • Optometrist
  • Thibodaux, LA
National Provider Identifier
1316040314
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
885189T Issued in LA
Practice address
900 N Canal Blvd
Thibodaux, LA 70301-8096
Phone
(985) 446-3276
Fax
(985) 446-3278
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 885189T LA Primary
Ophthalmology Physician 207W00000X MD026103 LA

Addresses

Primary practice location

900 N Canal Blvd
Thibodaux, LA 70301-8096

Mailing address

900 N Canal Blvd
Thibodaux, LA 70301-8096
Phone (985) 446-3276

Other identifiers 3

IdentifierTypeStateIssuer
2211BOtherLABLUE CROSS
0153010001OtherLADME
1312550MedicaidLA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100901000732 LA Practitioner - Optometry 2163420944 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
885LAMDMarriage & Family Therapist
885189TLAMDOptometrist
MD026103LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camile L. Chiasson, O.D., Apoc Optometrist CurrentSince Aug 1, 1994 Accepting new patients

Locations

4690 Highway 1
Raceland, LA 70394
Phone (985) 532-3042

318 N Canal Blvd
Thibodaux, LA 70301
Phone (985) 446-3276

1507 St Patrick St
Thibodaux, LA 70301

900 N Canal Blvd
Thibodaux, LA 70301
Phone (985) 446-3276

Organizations & group practices 1

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254873600000",
    "number": "1316040314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703018096",
            "telephone_number": "985-446-3276",
            "fax_number": "985-446-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703018096",
            "telephone_number": "985-446-3276",
            "fax_number": "985-446-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIASSON",
        "first_name": "CAMILE",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2009-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "885189T",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD026103",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2211B",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0153010001",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1312550",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.