Individual provider Active NPI

Michael Abbott, O.D.

  • Corneal and Contact Management Optometrist
  • Baton Rouge, LA
National Provider Identifier
1720038573
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
1280-439T Issued in LA
Practice address
7777 Hennessy Blvd
Suite 4000
Baton Rouge, LA 70808-4300
Phone
(225) 766-7441
Fax
(225) 769-6343
NPI assigned
May 11, 2006
Last updated
Dec 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 1280-439T LA Primary

Addresses

Primary practice location

7777 Hennessy Blvd
Suite 4000
Baton Rouge, LA 70808-4300

Mailing address

7777 Hennessy Blvd
Suite 4000
Baton Rouge, LA 70808-4300
Phone (225) 766-7441

Other identifiers 1

IdentifierTypeStateIssuer
1433012MedicaidLA

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
I20040505001228 LA Practitioner - Optometry 1254329378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2000
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 4000
Baton Rouge, LA 70808-0306
Phone (225) 766-7441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Medical Center, Apmc Optometrist CurrentSince Jan 1, 2012 Accepting new patients

Locations

7539 Corporate Blvd
Ste 100
Baton Rouge, LA 70809
Phone (225) 216-1400

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

8585 Picardy Ave
Ste 510
Baton Rouge, LA 70809
Phone (225) 218-6387

Interoperability endpoints

  • Direct secure messaging: mabbott@emc.direct.eyemdemr.com

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1720038573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 4000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-766-7441",
            "fax_number": "225-769-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 4000",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-766-7441",
            "fax_number": "225-769-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "LA",
            "license": "1280-439T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1433012",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.