Individual provider Active NPI

Candace Clement Collins, MD

  • Ophthalmology Physician
  • Slidell, LA
National Provider Identifier
1710944509
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD017396 Issued in LA
Practice address
2250 Gause Blvd E Ste 200
Slidell, LA 70461
Phone
(985) 649-0325
Fax
(985) 643-2820
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD017396 LA Primary

Addresses

Primary practice location

2250 Gause Blvd E Ste 200
Slidell, LA 70461

Mailing address

2250 Gause Blvd E Ste 200
Slidell, LA 70461
Phone (985) 649-0325

Other practice location 1

2495 Shreveport Hwy
Pineville, LA 71360-4044
Phone (318) 466-2427

Other identifiers 1

IdentifierTypeStateIssuer
1370452MedicaidLA

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
I20050512000022 LA Practitioner - Ophthalmology 2365482015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Medical Center ApmcGroup PAC ID 5890783062, 16 clinicians

Practice addresses (Care Compare)

7777 Hennessy Blvd
Suite 3000
Baton Rouge, LA 70808-0302
Phone (225) 766-7441

7777 Hennessy Blvd
Suite 4000
Baton Rouge, LA 70808-0306
Phone (225) 766-7441

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD017396LAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Medical Center, Apmc CurrentSince Mar 22, 2006 Accepting new patients
Eye Physicians & Surgeons, Inc Ophthalmology Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
The Administrators of the Tulane Educational Fund Past Accepting new patients

Locations

7777 Hennessy Blvd
Ste 3000
Baton Rouge, LA 70808
Phone (225) 766-7441

7777 Hennessy Blvd
Ste 4000
Baton Rouge, LA 70808
Phone (225) 766-7441

Interoperability endpoints

  • Direct secure messaging: ccollins@eyemedicalcenter.direct.eyemdemr.com
  • Direct secure messaging: ccollins@emc.direct.eyemdemr.com

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1710944509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 GAUSE BLVD E STE 200",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70461",
            "telephone_number": "985-649-0325",
            "fax_number": "985-643-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 GAUSE BLVD E STE 200",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "70461",
            "telephone_number": "985-649-0325",
            "fax_number": "985-643-2820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2495 Shreveport Hwy",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "LA",
            "postal_code": "713604044",
            "country_code": "US",
            "telephone_number": "318-466-2427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CANDACE",
        "middle_name": "CLEMENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "MD017396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1370452",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.