Active NPI
Eye Care Surgery Center, Inc
- Ambulatory Surgical Clinic/Center
- Baton Rouge, LA
National Provider Identifier
1386603173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 92
- Legal business name
- EYE CARE SURGERY CENTER, INC
- Practice address
- 10423 Old Hammond Hwy
Baton Rouge, LA 70816-8264 - Phone
- (225) 923-0960
- Fax
- (225) 923-3736
- NPI assigned
- Mar 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Henry Haley Jr., M.D.
- Title
- Owner
- Phone
- (225) 923-0960
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 92 | LA | Primary |
Addresses
Primary practice location
10423 Old Hammond Hwy
Baton Rouge, LA 70816-8264
Mailing address
10423 Old Hammond Hwy
Baton Rouge, LA 70816-8264
Phone (225) 923-0960
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1428566 | Medicaid | LA | |
| 20120 | Other | LA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070927000024 | LA | Part B Supplier - Ambulatory Surgical Center | 5890880561 | Practice locations: Baton Rouge, LA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Eye Care Surgery Center Inc
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
10423 Old Hammond Hwy
Baton Rouge, LA 70816
Phone (225) 923-0139
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Metairie, LA
- NPI 1972578516
-
- Ophthalmology Physician
- Baton Rouge, LA
- NPI 1144225988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202774400000",
"number": "1386603173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10423 OLD HAMMOND HWY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708168264",
"telephone_number": "225-923-0960",
"fax_number": "225-923-3736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10423 OLD HAMMOND HWY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708168264",
"telephone_number": "225-923-0960",
"fax_number": "225-923-3736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CARE SURGERY CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-21",
"last_updated": "2008-02-12",
"status": "A",
"authorized_official_last_name": "HALEY",
"authorized_official_first_name": "HENRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "225-923-0960",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "LA",
"license": "92",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1428566",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "20120",
"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 Feb 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.