Marc Hautot, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1039 Issued in LA

Practice address

409 Avenue F
Bogalusa, LA 70427-3633

Phone

(985) 735-8137

Fax

(985) 732-4777

NPI assigned

Feb 22, 2006

Last updated

Dec 28, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA, MS2 enrollments

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 2

Specialty

Optometry

Education

Southern College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Picayune Eye ClinicGroup PAC ID 1456470848, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mhautot@eyesurgla.intellechartdirect.net

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.

• Picayune Eye Clinic

  • Optometrist
  • Picayune, MS
  • NPI 1922067016
  Medicare reassignment Care Compare group NPD
• Eye Associates LLC

  dba Eye Surgery Center Of Louisiana

  • Ophthalmology Physician
  • Metairie, LA
  • NPI 1124071717
  Medicare reassignment NPD
• Poplarville Eye Clinic, LLC

  • Optometrist
  • Poplarville, MS
  • NPI 1962800011
  Medicare reassignment NPD
• Germer Haley LLC

  dba Eye Surgery Center of Louisiana

  • Ophthalmology Physician
  • Bogalusa, LA
  • NPI 1104014216
  NPD

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1346215274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 AVENUE F",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273633",
            "telephone_number": "985-735-8137",
            "fax_number": "985-732-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 AVENUE F",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273633",
            "telephone_number": "985-735-8137",
            "fax_number": "985-732-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUTOT",
        "first_name": "MARC",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0880022",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1397563",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Haik, M.ED.,CCC-SLP
• Hali Miller Pmhnp Psychiatry LLC
• Joseph Paul Halkovic, D.C
• Rebecca A Hankel, RD, LDN
• Harrison Place Guest House, LLC
• Healing Bliss Therapeutics
• Health Services Group of Louisiana, LLC (Gulf States LTAC of Washington St. Tammany)
• Health Servicesgroup of Louisiana, LLC (Gulf States LTAC Washington/St Tammy)
• Richard P. Heflin, M.D.
• Karmynah Marie Wilnetta Helaire, MD, MPH

• Optometrist in Bogalusa, LA
• Providers in Bogalusa, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.