Individual provider Active NPI

Richard James Piccione, M.D.

  • Pediatric Ophthalmology and Strabismus Specialist Physician
  • Lafayette, LA
National Provider Identifier
1700882917
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Ophthalmology and Strabismus Specialist PhysicianTaxonomy code 207WX0110X
License
MD.09888R Issued in LA
Practice address
4906 Ambassador Caffery Pkwy
Ste. 701 BLDG G
Lafayette, LA 70508-6916
Phone
(337) 989-2600
Fax
(337) 989-2601
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X MD.09888R LA Primary
Ophthalmology Physician 207W00000X MD.09888R LA

Addresses

Primary practice location

4906 Ambassador Caffery Pkwy
Ste. 701 BLDG G
Lafayette, LA 70508-6916

Mailing address

4906 Ambassador Caffery Pkwy
Ste. 701 - BLDG G
Lafayette, LA 70508-6916
Phone (337) 989-2600

Other identifiers 1

IdentifierTypeStateIssuer
1695068MedicaidLA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040601000002 LA Practitioner - Ophthalmology 3274514674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in New Orleans, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lfec, LLCGroup PAC ID 3678915519, 2 clinicians

Practice addresses (Care Compare)

4906 Ambassador Caffery Pkwy
BLDG G
Lafayette, LA 70508-6962
Phone (337) 989-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.09888RLAMDPediatric Ophthalmology and Strabismus Specialist Physician Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lfec, LLC Pediatric Ophthalmology and Strabismus Specialist CurrentSince May 9, 2024 Accepting new patients
Richard J Piccione MD Apmc Ophthalmology CurrentSince Apr 30, 2003 Accepting new patients

Locations

4906 Ambassador Caffery Pkwy
Ste 701
Lafayette, LA 70508
Phone (337) 989-2600

4906 Ambassador Caffery Pkwy
Bldg G
Lafayette, LA 70508
Phone (337) 989-2600

4906 Ambassador Caffery Pkwy
#G
Lafayette, LA 70508

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1700882917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4906 AMBASSADOR CAFFERY PKWY",
            "address_2": "STE. 701 - BLDG G",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086916",
            "telephone_number": "337-989-2600",
            "fax_number": "337-989-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 AMBASSADOR CAFFERY PKWY",
            "address_2": "STE. 701 BLDG G",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086916",
            "telephone_number": "337-989-2600",
            "fax_number": "337-989-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCIONE",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "LA",
            "license": "MD.09888R",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD.09888R",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1695068",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.