Adam Pickle, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1821-755AT Issued in LA

Practice address

23855 Eden St
Plaquemine, LA 70764-3315

Phone

(225) 687-2026

NPI assigned

Aug 4, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roger F Shaw III a Professional Optometry CorporationGroup PAC ID 6305741638, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Roger F Shaw III a Professional Optometry Corporation

  • Optometrist
  • Plaquemine, LA
  • NPI 1740472794
  Medicare reassignment Care Compare group
• Roger F. Shaw, III Apmc

  • Optometrist
  • Baton Rouge, LA
  • NPI 1003009499
  NPD

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1770037053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23855 EDEN ST",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707643315",
            "telephone_number": "225-687-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23855 EDEN ST",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707643315",
            "telephone_number": "225-687-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKLE",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-04",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1821-755AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Associates
• Angelica Darlynetta Peterson, LPC
• Physicians Imaging - Iberville LLC
• Physicians Imaging-Iberville Associates LLC
• Physicians' Choice Physical Therapy of Iberville Parish, L. L. C.
• Coshannon Pierson
• Pilut Healthcare Services, LLC
• Jessica Pizzolato
• Keiosha Plant
• Plaquemine Caring, LLC

• Optometrist in Plaquemine, LA
• Providers in Plaquemine, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.