Individual provider Active NPI

Marcus D. Andrepont, O.D.

  • Optometrist
  • Lafayette, LA
National Provider Identifier
1861591422
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
926-089T Issued in LA
Practice address
4400 Ambassador Caffery Pkwy Ste D
Lafayette, LA 70508-6760
Phone
(337) 984-3234
Fax
(337) 989-2611
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 926-089T LA Primary

Addresses

Primary practice location

4400 Ambassador Caffery Pkwy Ste D
Lafayette, LA 70508-6760

Mailing address

4400 Ambassador Caffery Pkwy Ste D
Lafayette, LA 70508-6760
Phone (337) 984-3234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
926LAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Armand Eye Care, LLC Optometrist PastSince Oct 31, 2021 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861591422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 AMBASSADOR CAFFERY PKWY STE D",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086760",
            "telephone_number": "337-984-3234",
            "fax_number": "337-989-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 AMBASSADOR CAFFERY PKWY STE D",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086760",
            "telephone_number": "337-984-3234",
            "fax_number": "337-989-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREPONT",
        "first_name": "MARCUS",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "926-089T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.