Organization Active NPI

Quentin D. Falgoust, MD, AMC

  • Eyewear Supplier
  • Thibodaux, LA
National Provider Identifier
1710219688
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
QUENTIN D. FALGOUST, MD, AMC
Practice address
1101 Audubon Ave
Ste N5
Thibodaux, LA 70301-4957
Phone
(985) 446-0506
Fax
(985) 446-7614
NPI assigned
Feb 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Quentin D Falgoust, M.D.NPI 1548255938
Title
President
Phone
(985) 446-0506

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

1101 Audubon Ave
Ste N5
Thibodaux, LA 70301-4957

Mailing address

1101 Audubon Ave
Ste N5
Thibodaux, LA 70301-4957

Other names 1

  • Plaza Optical Other name

National Provider Directory

National Provider Directory

Locations

1101 Audubon Ave
Ste N5
Thibodaux, LA 70301
Phone (504) 446-0506

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1710219688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 AUDUBON AVE",
            "address_2": "STE N5",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 AUDUBON AVE",
            "address_2": "STE N5",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014957",
            "telephone_number": "985-446-0506",
            "fax_number": "985-446-7614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUENTIN D. FALGOUST, MD, AMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "FALGOUST",
        "authorized_official_first_name": "QUENTIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-446-0506",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza Optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 3, 2010; 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.