Organization Active NPI

Acadian Eye Care & Optical Inc.

  • Optometrist
  • Jennings, LA
National Provider Identifier
1396924643
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1192-344T Issued in LA
Legal business name
ACADIAN EYE CARE & OPTICAL INC.
Practice address
418 N Main St
Jennings, LA 70546-5344
Phone
(337) 824-3937
Fax
(337) 824-1050
NPI assigned
Nov 2, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Timothy J Barry, O.D.
Title
Optometrist/Owner
Phone
(337) 824-3937

National Provider Directory

National Provider Directory

Locations

418 N Main St
Jennings, LA 70546
Phone (337) 329-3396

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1192-344T LA Primary

Addresses

NPPES NPI Registry

Primary practice location

418 N Main St
Jennings, LA 70546-5344

Mailing address

418 N Main St
Jennings, LA 70546-5344
Phone (337) 824-3937

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1998273MedicaidLA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 7, 2011.

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1396924643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 N MAIN ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705465344",
            "telephone_number": "337-824-3937",
            "fax_number": "337-824-1050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N MAIN ST",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705465344",
            "telephone_number": "337-824-3937",
            "fax_number": "337-824-1050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADIAN EYE CARE & OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "337-824-3937",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1192-344T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1998273",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jennings, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.