Van M Ardoin, M.D., a Medical Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

011488 Issued in LA

Legal business name

VAN M ARDOIN, M.D., A MEDICAL CORPORATION

Practice address

603 Dunn St
Houma, LA 70360-4707

Phone

(985) 876-6980

Fax

(985) 876-6975

NPI assigned

May 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Van M Ardoin, MD

Title

Owner

Phone

(985) 876-6980

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1962679647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 DUNN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604707",
            "telephone_number": "985-876-6980",
            "fax_number": "985-876-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 DUNN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604707",
            "telephone_number": "985-876-6980",
            "fax_number": "985-876-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN M ARDOIN, M.D., A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "ARDOIN",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-876-6980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "011488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1146170",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vacherie Personal Care Service, Inc
• Vacherie Personal Care Service, Inc
• Amanda R Valence, RD
• Valient Emergency Physicians, LLC
• Barry James Valure, PHARMACIST
• Lois Vander Woude
• Ruben Dario Vargas-Cuba, M.D.
• Vcphcs V, LLC
• Lauren Marie Vedros-Jones, PT, DPT
• Jennifer A Vedros, PMHNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.