Individual provider Active NPI

Robert Lucas Patin, O.D.

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1902110620
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1594-627T 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
Aug 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2126741MedicaidLA
4R172OtherLAMEDICARE

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
I20101015000682 LA Practitioner - Optometry 1759574338 Reassigns benefits to 1 organization

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
Eye Medical Center ApmcGroup PAC ID 5890783062, 16 clinicians

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

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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.