Organization Active NPI

Eye Care Surgery Center, Inc

  • Ambulatory Surgical Clinic/Center
  • Baton Rouge, LA
National Provider Identifier
1386603173
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
92 Issued in LA
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

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Henry Haley Jr., M.D.NPI 1972578516
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1428566MedicaidLA
20120OtherLABLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncCCN 19C0001010
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.