Individual provider Active NPI

Gary M Artigue, O.D.

  • Optometrist
  • Slidell, LA
National Provider Identifier
1396737813
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
987288T Issued in LA
Practice address
1051 Gause Blvd
Suite 480
Slidell, LA 70458-2951
Phone
(985) 649-0206
Fax
(985) 649-4060
NPI assigned
Aug 19, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 987288T LA Primary
Optometrist 152W00000X 594 MS

Addresses

Primary practice location

1051 Gause Blvd
Suite 480
Slidell, LA 70458-2951

Mailing address

1051 Gause Blvd
Suite 480
Slidell, LA 70458-2951
Phone (985) 649-0206

Other identifiers 2

IdentifierTypeStateIssuer
0880213MedicaidMS
1950734MedicaidLA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090716000017 LA Practitioner - Optometry 5799725966 Reassigns benefits to 2 organizations
I20170522002745 MS Practitioner - Optometry 5799725966 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
987288TLAMDOptometrist
594MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Germer Haley LLC CurrentSince Aug 1, 2019 Accepting new patients
Advanced Eyecare, LLC Optometrist CurrentSince Apr 24, 2017 Accepting new patients
Eye Associates LLC CurrentSince Aug 1, 2019 Accepting new patients

Locations

3530 Houma Blvd
Ste 203
Metairie, LA 70006
Phone (504) 455-1816

64185 Highway 41
Ste B
Pearl River, LA 70452
Phone (985) 250-8000

1051 Gause Blvd
Ste 480
Slidell, LA 70458
Phone (985) 898-7420

2050 Gause Blvd E
Ste 150
Slidell, LA 70461
Phone (985) 649-0206

5 Alex Pl
Picayune, MS 39466
Phone (601) 799-0707

718 Highway 11 S
#B
Picayune, MS 39466
Phone (601) 799-0707

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396737813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 GAUSE BLVD",
            "address_2": "SUITE 480",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582951",
            "telephone_number": "985-649-0206",
            "fax_number": "985-649-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1051 GAUSE BLVD",
            "address_2": "SUITE 480",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704582951",
            "telephone_number": "985-649-0206",
            "fax_number": "985-649-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTIGUE",
        "first_name": "GARY",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "987288T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "594",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0880213",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1950734",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.