Organization Active NPI

Baton Rouge Eye Physicians

  • Ophthalmology Physician
  • Baton Rouge, LA
National Provider Identifier
1346380557
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BATON ROUGE EYE PHYSICIANS
Practice address
4848 North Blvd
Baton Rouge, LA 70806-4019
Phone
(225) 927-0180
Fax
(225) 926-3803
NPI assigned
Feb 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shila L Crow
Title
Accounting
Phone
(225) 927-0180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

4848 North Blvd
Baton Rouge, LA 70806-4019

Mailing address

PO Box 66455
Baton Rouge, LA 70896
Phone (225) 927-0180

Other identifiers 1

IdentifierTypeStateIssuer
1133485MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070808000459 LA Part B Supplier - Clinic/Group Practice 9335240183 Receives reassigned benefits from 5 practitioners
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346380557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66455",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70896",
            "telephone_number": "225-927-0180",
            "fax_number": "225-926-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 NORTH BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064019",
            "telephone_number": "225-927-0180",
            "fax_number": "225-926-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATON ROUGE EYE PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CROW",
        "authorized_official_first_name": "SHILA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ACCOUNTING",
        "authorized_official_telephone_number": "225-927-0180"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1133485",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.