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DR. ERICA DURLACHER O.D.
NPI 1922459395
Optometrist in Baton Rouge, LA

Active since June 28, 2016PECOS EnrolledAccepts Medicare Assignment
257 LEE DR STE Q, BATON ROUGE, LA 70808(225) 819-0120(225) 293-1285 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2019, Nov 3, 2016, Jun 28, 2016 (3 updates tracked since 2016).

About Dr. Erica Durlacher O.d. NPPES

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

DR. ERICA DURLACHER O.D. (NPI 1922459395) is an individual optometrist in Baton Rouge, Louisiana, licensed in Louisiana (1815-749AT) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Baton Rouge, and is a graduate of Southern College Of Optometry (2016).

NPPES Registry Identity

NPI1922459395
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ERICA DURLACHERCredential: O.D.
Location Address257 LEE DR STE QBaton Rouge, LA 70808-4977
Mailing Address10197 Cal RdBaton Rouge, LA 70809-3257 · (225) 933-5289
Phone(225) 819-0120
Fax(225) 293-1285
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 2016
Enumeration DateJune 28, 2016
Last NPPES UpdateJune 30, 20233 updates tracked since enumeration
NPPES CertifiedJune 30, 2023
✔ NPI 1922459395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in LA · 1815-749AT
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
257 LEE DR STE Q, Baton Rouge, LA 70808
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Secondary Practice Location 1

Location 110197 Cal RdBaton Rouge, LA 70809 · Phone (225) 933-5289

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

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

Dr. Erica Durlacher O.d. 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 ID143508044
PECOS Enrollment IDI20161027001887
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70808 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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES C SONNIER DC
Chiropractor
257 LEE DR STE Q
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 766-2952
ERICA DURLACHER OD LLC
Optometrist
257 LEE DR STE Q
BATON ROUGE, LA 70808
East Baton Rouge Parish (225) 819-0120

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 Erica Durlacher's NPI number?

The NPI number for Erica Durlacher is 1922459395. It was assigned to this individual provider in the NPPES registry on June 28, 2016.

Where is Erica Durlacher located?

Erica Durlacher practices at 257 Lee Dr Ste Q, Baton Rouge, LA 70808. The listed phone number is (225) 819-0120.

What is Erica Durlacher's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Erica Durlacher enrolled in Medicare?

Yes. Erica Durlacher 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.

What insurance does Erica Durlacher accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 8 other insurers list Erica Durlacher as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Erica Durlacher was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.