Active NPI
Robert Lucas Patin, O.D.
- Optometrist
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1594-627T
- Practice address
- 7777 Hennessy Blvd
Suite 4000
Baton Rouge, LA 70808-4300 - Phone
- (225) 766-7441
- Fax
- (225) 769-6343
- NPI assigned
- Aug 5, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1594-627T | LA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 1594-627T | LA |
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 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2126741 | Medicaid | LA | |
| 4R172 | Other | LA | MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7539 Corporate Blvd
Suite 100
Baton Rouge, LA 70809-1186
Phone (225) 216-1400
7777 Hennessy Blvd
Suite 3000
Baton Rouge, LA 70808-0302
Phone (225) 766-7441
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Medical Center, Apmc | Optometrist | Current | Accepting new patients |
| The Optical Shoppe | Past | Accepting new patients |
Locations
7777 Hennessy Blvd
Ste 4000
Baton Rouge, LA 70808
Phone (225) 766-7441
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
1615 SW Railroad Ave
Hammond, LA 70403
Phone (504) 345-0050
5000 Odonavan Blvd
Ste 407
Walker, LA 70785
Phone (225) 665-1777
Interoperability endpoints
- rpatin@emc.direct.eyemdemr.com
Organizations & group practices 2
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.
-
- Optometrist
- Baton Rouge, LA
- NPI 1053422113
-
- Eyewear Supplier
- Hammond, LA
- NPI 1689846487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1902110620",
"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": "PATIN",
"first_name": "ROBERT",
"middle_name": "LUCAS",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-05",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1594-627T",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "LA",
"license": "1594-627T",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2126741",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "4R172",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.