Individual provider Active NPI

Shonda D. Achord, O.D.

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1861593477
Registry record updated Aug 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1095-205T Issued in LA
Practice address
12726 Perkins Rd
Baton Rouge, LA 70810-1910
Phone
(225) 767-3937
Fax
(225) 767-3917
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1095-205T LA Primary

Addresses

Primary practice location

12726 Perkins Rd
Baton Rouge, LA 70810-1910

Mailing address

12726 Perkins Rd
Baton Rouge, LA 70810-1910
Phone (225) 767-3937

Other identifiers 1

IdentifierTypeStateIssuer
1952524MedicaidLA

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
I20100913000024 LA Practitioner - Optometry 3678697570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Achord Eye Clinic LLCGroup PAC ID 1153445044, 4 clinicians

Practice addresses (Care Compare)

8280 YMCA Plaza Dr
BLDG 9
Baton Rouge, LA 70810-0927
Phone (225) 767-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1095-205TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Achord Eye Clinic CurrentSince Sep 2, 2003 Accepting new patients
Achord Eye Clinic LLC Optometrist CurrentSince Apr 12, 2010 Accepting new patients
Roger F Shaw III a Professional Optometry Corporation Optometrist PastSince Aug 30, 2016 Accepting new patients
Achord Eye Clinic Optometrist Past Accepting new patients

Locations

8280 Ymca Plaza Dr
Bldg 9
Baton Rouge, LA 70810
Phone (225) 767-2344

12726 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 767-3937

Interoperability endpoints

  • Direct secure messaging: shondaachord@shonda-achord.direct.kno2fy.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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345766400000",
    "number": "1861593477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12726 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101910",
            "telephone_number": "225-767-3937",
            "fax_number": "225-767-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12726 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101910",
            "telephone_number": "225-767-3937",
            "fax_number": "225-767-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHORD",
        "first_name": "SHONDA",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2012-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1095-205T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952524",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.