# RICHARD J PICCIONE MD APMC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164642740
- **Authorized official:** DR. RICHARD JAMES PICCIONE MD (PHYSICIAN)
- **Authorized official phone:** (337) 989-2600

## Contact information

- **Practice address:** 4906 AMBASSADOR CAFFERY PKWY, STE. 701, LAFAYETTE, LA 70508-6916
- **Practice address phone:** (337) 989-2600
- **Practice address fax:** (337) 989-2601
- **Mailing address:** 4906 AMBASSADOR CAFFERY PKWY, STE. 701, LAFAYETTE, LA 70508-6916
- **Mailing address phone:** (337) 989-2600
- **Mailing address fax:** (337) 989-2601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | LA 1392-523T | LA | — |
| 207W00000X | Ophthalmology Physician | MD.09888R | LA | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 10/03/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1103942 | — | LA |
| 01 | — | BLUE CROSS | 4398981580 | LA |
