Active NPI
Acadian Eye Care & Optical Inc.
- Optometrist
- Jennings, LA
National Provider Identifier
1396924643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1192-344T
- 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 DirectoryLocations
418 N Main St
Jennings, LA 70546
Phone (337) 329-3396
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1192-344T | LA | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1998273 | Medicaid | LA |
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.