Individual provider Active NPI

Kennedy Achord, OD

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1326876053
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2023-969AT Issued in LA
Practice address
8280 YMCA Plaza Dr BLDG 9
Baton Rouge, LA 70810-0927
Phone
(225) 767-3937
Fax
(225) 767-3917
NPI assigned
Jul 24, 2024
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2023-969AT LA Primary

Addresses

Primary practice location

8280 YMCA Plaza Dr BLDG 9
Baton Rouge, LA 70810-0927

Mailing address

8280 YMCA Plaza Dr BLDG 9
Baton Rouge, LA 70810-0927
Phone (225) 767-3937

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
I20240906001957 LA Practitioner - Optometry 7810437761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Achord Eye Clinic LLCGroup PAC ID 1153445044, 4 clinicians

Practice addresses (Care Compare)

8280 YMCA Plaza Dr
BLDG 9
Baton Rouge, LA 70810-0927
Phone (225) 767-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery39

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023-969ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Achord Eye Clinic LLC Optometrist CurrentSince Aug 23, 2024 Accepting new patients
Achord Eye Clinic CurrentSince Aug 23, 2024 Accepting new patients
Achord Eye Clinic Optometrist Past Accepting new patients

Locations

8280 Ymca Plaza Dr
Bldg 9
Baton Rouge, LA 70810
Phone (225) 767-2344

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1326876053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8280 YMCA PLAZA DR BLDG 9",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100927",
            "telephone_number": "225-767-3937",
            "fax_number": "225-767-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 YMCA PLAZA DR BLDG 9",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100927",
            "telephone_number": "225-767-3937",
            "fax_number": "225-767-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHORD",
        "first_name": "KENNEDY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "2023-969AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.