NPIMap

Organization Active NPI

Camile L. Chiasson, O.D., Apoc

Doing business as Chiasson Eyecare Center

  • Optometrist
  • Thibodaux, LA
National Provider Identifier
1427144658
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
885-189T Issued in LA
Legal business name
CAMILE L. CHIASSON, O.D., APOC
Doing business as
Chiasson Eyecare Center
Practice address
318 N Canal Blvd
Thibodaux, LA 70301-2996
Phone
(985) 446-3276
Fax
(985) 446-3278
NPI assigned
Oct 5, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Linda N. Gros
Title
Office Manager
Phone
(985) 446-3276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 885-189T LA Primary

Addresses

Primary practice location

318 N Canal Blvd
Thibodaux, LA 70301-2996

Mailing address

318 N Canal Blvd
Thibodaux, LA 70301-2996
Phone (985) 446-3276

Other identifiers 1

IdentifierTypeStateIssuer
1946419MedicaidLA

Other names 1

  • Chiasson Eyecare Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050907000004 LA Part B Supplier - Clinic/Group Practice 0446282982 Receives reassigned benefits from 7 practitioners
Practice locations: Raceland, LA; Thibodaux, LA

National Provider Directory

National Provider Directory

Locations

1507 Saint Patrick St
Thibodaux, LA 70301

1507 St Patrick St
Thibodaux, LA 70301

1507 St Patrick St
Thibodaux, LA 70301
Phone (985) 446-3276

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427144658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 N CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012996",
            "telephone_number": "985-446-3276",
            "fax_number": "985-446-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 N CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703012996",
            "telephone_number": "985-446-3276",
            "fax_number": "985-446-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMILE L. CHIASSON, O.D., APOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GROS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "985-446-3276",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "885-189T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1946419",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiasson Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.