Individual provider Active NPI

Louis Arnold Cloutier Jr., O.D.

  • Optometrist
  • Houma, LA
National Provider Identifier
1649248774
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
967-120T Issued in LA
Practice address
130 Enterprise Drive
Houma, LA 70360-2439
Phone
(985) 872-2020
Fax
(985) 872-2069
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 967-120T LA Primary

Addresses

Primary practice location

130 Enterprise Drive
Houma, LA 70360-2439

Mailing address

130 Enterprise Drive
Houma, LA 70360-2439
Phone (985) 872-2020

Other identifiers 1

IdentifierTypeStateIssuer
1950742MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080604000450 LA Practitioner - Optometry 8022188937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Artis Beatty a Professional Optometry CorporationGroup PAC ID 3678831187, 14 clinicians

Practice addresses (Care Compare)

130 Enterprise Dr
Houma, LA 70360-2443
Phone (985) 872-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
967-120TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Artis Beatty a Professional Optometry Corporation Optometrist CurrentSince Dec 2, 2019 Accepting new patients
Artis Beatty a Professional Optometry Corporation Optometrist Current Accepting new patients
Artis Beatty a Professional Optometry Corporation Optometrist CurrentSince Dec 2, 2019 Accepting new patients
Stevenson Medical Surgical Eye Center Past Accepting new patients

Locations

13322 Highway 90
Ste L
Boutte, LA 70039
Phone (985) 785-8484

130 Enterprise Dr
Houma, LA 70360
Phone (985) 872-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1649248774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ENTERPRISE DRIVE",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602439",
            "telephone_number": "985-872-2020",
            "fax_number": "985-872-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ENTERPRISE DRIVE",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602439",
            "telephone_number": "985-872-2020",
            "fax_number": "985-872-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUTIER",
        "first_name": "LOUIS",
        "middle_name": "ARNOLD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "967-120T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1950742",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.