Individual provider Active NPI

Lawrence C Aderhold, OD

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1669418760
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
837207T Issued in LA
Practice address
5237 Jones Creek Rd
Baton Rouge, LA 70817-2124
Phone
(225) 755-3937
Fax
(225) 755-2272
NPI assigned
Jun 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 837207T LA Primary

Addresses

Primary practice location

5237 Jones Creek Rd
Baton Rouge, LA 70817-2124

Mailing address

5237 Jones Creek Rd
Baton Rouge, LA 70817-2124
Phone (225) 755-3937

Other identifiers 1

IdentifierTypeStateIssuer
1907367MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
837LAMDChiropractor
837207TLAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669418760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5237 JONES CREEK RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708172124",
            "telephone_number": "225-755-3937",
            "fax_number": "225-755-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5237 JONES CREEK RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708172124",
            "telephone_number": "225-755-3937",
            "fax_number": "225-755-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADERHOLD",
        "first_name": "LAWRENCE",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "837207T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1907367",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.