Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB ARDOIN
NPI 1629712153
Ophthalmology in Lake Charles, LA

Q: What is Jacob Ardoin's NPI number?

The NPI number for Jacob Ardoin is 1629712153. It was assigned to this individual provider in the NPPES registry on April 21, 2022.

Q: What is Jacob Ardoin's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Ardoin was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 21, 2022PECOS Enrolled

1980 TYBEE LN, LAKE CHARLES, LA 70605(337) 447-0963(337) 477-1912 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 23, 2026, Jan 7, 2026, May 19, 2022 and 1 more (4 updates tracked since 2022).

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About Jacob Ardoin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB ARDOIN (NPI 1629712153) is an individual ophthalmology provider in Lake Charles, Louisiana, licensed in Louisiana (349737) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In Shreveport (2022).

NPPES Registry Identity

NPI1629712153

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameJACOB ARDOIN

Location Address1980 TYBEE LNLake Charles, LA 70605-4173

Mailing AddressPo Box 4765Lake Charles, LA 70606-4765 · (337) 477-0963 · Fax (337) 477-1912

Phone(337) 447-0963

Fax(337) 477-1912

Sole ProprietorYes

Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 2022

Enumeration DateApril 21, 2022

Last NPPES UpdateSeptember 23, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2026

✔ NPI 1629712153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in LA · 349737

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1980 TYBEE LN, Lake Charles, LA 70605

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Ardoin is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416435391

PECOS Enrollment IDI20260202001202

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$124.60 typical visit price

range $53.43 – $164.73

Typical copayment $31.15 (range $13.35 – $41.18)

Most-billed visit code 99204

Established Patient

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Ardoin's NPI number?

The NPI number for Jacob Ardoin is 1629712153. It was assigned to this individual provider in the NPPES registry on April 21, 2022.

Where is Jacob Ardoin located?

Jacob Ardoin practices at 1980 Tybee Ln, Lake Charles, LA 70605. The listed phone number is (337) 447-0963.

What is Jacob Ardoin's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jacob Ardoin enrolled in Medicare?

Yes. Jacob Ardoin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacob Ardoin was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.