DR. MITCHELL NEIL BROUSSARD (NPI# 1013904473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013904473 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL NEIL BROUSSARD |
| Credential | O.D. |
| Practice Address |
5725 Johnston St Suite 2314 Lafayette LA 70503-5315 |
| Practice Telephone | 3379842410 |
| Practice Fax Number | 3379842416 |
| Mailing Telephone | 3379842410 |
| Mailing Fax Number | 3379842416 |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2012-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1105-195T | LA | Eye and Vision Services Providers |
| Street Address |
5725 JOHNSTON ST SUITE 2314 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70503-5315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710007000 | Today's Eyecare, LLC | Optometrist | 5725 Johnston St, Suite 2314, Lafayette, LA 70503-5307 | 2007-03-30 |
| 1396899407 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5725 Johnston St, Acadiana Mall, Lafayette, LA 70503-5307 | 2007-01-23 |
| 1790847218 | Kimberly Lewis | Optometrist | 5725 Johnston St, Box 2307, Lafayette, TX 78213 | 2006-12-14 |
| 1114014628 | Jason Wonch Od and Associates A P C | Eyewear Supplier (Equipment, not the service) | 5725 Johnston St, Lafayette, LA 70503-5307 | 2006-10-06 |
| 1487675393 | Usv Optical Inc | Technician/Technologist | 5725 Johnston St, Lafayette, LA 70503-5307 | 2006-07-23 |
| 1992721252 | Cathy M Guidry | Optometrist | 5725 Johnston St, Suite 2314, Lafayette, LA 70503-5307 | 2006-07-13 |
| 1346271384 | Joseph Andrew Atkins | Optometrist | 5725 Johnston St, Suite 2314, Lafayette, LA 70503-5307 | 2006-07-06 |
| 1679527444 | Donald Scott Jacobsen | Optometrist | 5725 Johnston St, Suite 2314, Lafayette, LA 70503 | 2006-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
| 1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
| 1497391973 | Solvet Services LLC | Durable Medical Equipment & Medical Supplies | 345 Doucet Rd., Suite 212, Lafayette, LA 70503 | 2019-11-20 |
| 1023654712 | Louisiana Cardiac Vascular and Pulmonary Rehab LLC | Registered Nurse | 2701 Johnston Street, Ste 100, Lafayette, LA 70503 | 2019-11-18 |
| 1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
| 1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
| 1770041295 | Karen R Rue | Registered Nurse | 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 | 2019-03-04 |
| 1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
| 1710456116 | Affordable Caregivers, Inc. | In Home Supportive Care | 515 South College Rd., Suite 125, Lafeyette, LA 70503 | 2018-11-15 |
| 1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
| Find all providers in zip 70503 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912569864 | Meghan Held | Optometrist | 2210 Schuyler Ave, Lafayette, IN 47904-1229 | 2019-07-01 |
| 1659863264 | Daniel & Max, LLC | Optometrist | 5540 Johnston St Ste 101, Lafayette, LA 70503-5138 | 2018-05-31 |
| 1700308988 | Melissa Alane Lewis | Optometrist | 100 S Creasy Ln Ste 1530, Lafayette, IN 47905-0757 | 2017-07-10 |
| 1871015149 | Allison Heaslip | Optometrist | 2141 Sagamore Pkwy S, Lafayette, IN 47905-5109 | 2017-07-08 |
| 1467804922 | Britney Kitamata-wong | Optometrist | 3581 Mt Diablo Blvd Ste A, Lafayette, CA 94549 | 2016-07-08 |
| 1851749121 | Ossip Optometry, PC | Optometrist | 100 S Creasy Ln, Ste 1530, Lafayette, IN 47905-0751 | 2016-05-27 |
| 1366827586 | Carolyn Van | Optometrist | 201 Meadow Farm Dr., Inside of Costco, Lafayette, LA 70508 | 2015-07-29 |
| 1053660951 | Jennie Cho | Optometrist | 2677 Trailridge Dr W, Lafayette, CO 80026-3167 | 2012-09-06 |
| 1487900023 | Jessica E. Stafford | Optometrist | 5000 Ambassador Caffery Pkwy 13, Lafayette, LA 70508-6984 | 2012-08-01 |
| 1346506573 | Eyecare Indiana Ll, PC | Optometrist | 12 Professional Court, Lafayette, IN 47905-5152 | 2012-04-02 |
| Find all providers in LAFAYETTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.