Organization
RICHARD J PICCIONE MD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JAMES PICCIONE MD (PHYSICIAN)
(337) 989-2600
Entity
Organization
Contact information
Practice address
4906 AMBASSADOR CAFFERY PKWY, STE. 701, LAFAYETTE, LA 70508-6916
(337) 989-2600
(337) 989-2601
Mailing address
4906 AMBASSADOR CAFFERY PKWY, STE. 701, LAFAYETTE, LA 70508-6916
(337) 989-2600
(337) 989-2601
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
LA 1392-523T
LA
207W00000X
Ophthalmology Physician
Primary
MD.09888R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103942
—
LA
01
—
BLUE CROSS
4398981580
LA
Enumeration date
04/26/2007
Last updated
10/03/2013
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