Individual provider Active NPI

Raeghan Parker, OD

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1710736871
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2033-979AT Issued in LA
Practice address
10423 Old Hammond Hwy
Baton Rouge, LA 70816-8264
Phone
(225) 923-0960
NPI assigned
May 13, 2024
Last updated
Jul 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Optometrist 152W00000X 2033-979AT LA Primary

Addresses

Primary practice location

10423 Old Hammond Hwy
Baton Rouge, LA 70816-8264

Mailing address

1747 Stuart Ave
Baton Rouge, LA 70808-3779
Phone (504) 275-7170

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
I20240913000374 LA Practitioner - Optometry 4385184670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tiger Vision, L.L.C.Group PAC ID 0840292850, 10 clinicians

Practice addresses (Care Compare)

10423 Old Hammond Hwy
Baton Rouge, LA 70816-8264
Phone (225) 923-0960

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2033-979ATLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiger Vision, L.L.C. CurrentSince Aug 12, 2024 Accepting new patients

Locations

10423 Old Hammond Hwy
Baton Rouge, LA 70816
Phone (225) 923-0139

10423 Old Hammond Hwy
Ste A
Baton Rouge, LA 70816

Interoperability endpoints

  • Direct secure messaging: rparker@tigervisonllc.intellechartdirect.net

Organizations & group practices 1

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": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1710736871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 STUART AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083779",
            "telephone_number": "504-275-7170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10423 OLD HAMMOND HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168264",
            "telephone_number": "225-923-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "RAEGHAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "2033-979AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.