DR. JENNIFER CLAIRE TATE-BRASSEAUX (NPI# 1881884245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881884245 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER CLAIRE TATE-BRASSEAUX |
| Credential | O.D. |
| Practice Address |
138 Lazaro Blvd Suite B Opelousas LA 70570-9115 |
| Mailing Address |
138 Lazaro Blvd Ste B Opelousas LA 70570-9115 |
| Practice Telephone | 3374072888 |
| Practice Fax Number | 3374072999 |
| Mailing Telephone | 3374072888 |
| Mailing Fax Number | 3374072999 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2016-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1542-573AT | LA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | MEDICARE PTAN | 3A377 | 01 |
| LA | 1021369 | 05 |
| Street Address |
138 LAZARO BLVD SUITE B |
| City | OPELOUSAS |
| State | LA |
| Zip Code | 70570-9115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205838794 | Richard Tate | Internal Medicine | 138 Lazaro Blvd, Suite A, Opelousas, LA 70570-9126 | 2005-08-15 |
| 1912369851 | Lori Gautreaux Bergeron LLC | Internal Medicine | 138 Lazaro Blvd, Suite A, Opelousas, LA 70570-9115 | 2016-03-21 |
| 1942576855 | Lori Nicole Gautreaux | Internal Medicine | 138 Lazaro Blvd, Opelousas, LA 70570-9115 | 2012-03-25 |
| 1972735710 | Jennifer Tate Brasseaux, Od, LLC | Optometrist | 138 Lazaro Blvd, Suite A, Opelousas, LA 70570-9115 | 2009-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821608282 | Dream Angels Agency | Home Health | 356 Country Ridge Rd., 21, Opelousas, LA 70570 | 2020-07-31 |
| 1588286389 | Kasey Dunn | Nurse Practitioner | 3983 Interstate-49 South Service Rd., Suite 103, Opelousas, LA 70570 | 2020-05-14 |
| 1538704010 | Southern Family Medicine, LLC | Nurse Practitioner | 10818 Hwy. 190, Opelousas, LA 70570 | 2019-11-08 |
| 1952952061 | Check Point Urgent Care | Clinic/Center | 2331 S Union Street, Opelousas, LA 70570 | 2019-09-20 |
| 1639734015 | Southern Pharmacy LLC | Pharmacy | 3939 I-49 South Service Rd., Opelousas, LA 70570 | 2019-05-01 |
| 1245708452 | Anthony Ray Parker Jr. | Case Manager/Care Coordinator | 208 Ballard Loop, Opelousas, LA 70570 | 2018-11-06 |
| 1306329511 | Katherine D Trahan | Pharmacy | 3935 I-49 South Service Rd, Opelousas, LA 70570 | 2018-09-13 |
| 1548752942 | Justin Y Auzenne | Driver | 230 Lemelle St, Opelousas, LA 70570 | 2018-05-31 |
| 1063920650 | Laykin Bellard | Nurse Practitioner | 3975 I-49 Frontage Rd, Suite 201, Opelousas, LA 70570 | 2018-01-17 |
| 1124535562 | Lisa M Miller | Counselor | 1211 Austin Rd, Opelousas, LA 70570 | 2018-01-08 |
| Find all providers in zip 70570 | ||||
| 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 |
|---|---|---|---|---|
| 1609314137 | Kaylan Rosette | Optometrist | 907 Chickasaw Dr, Opelousas, LA 70570-6570 | 2017-02-04 |
| 1720152523 | Barbara Pearce Bailey | Optometrist | 1629 E Creswell Lane, Opelousas, LA 70586 | 2006-11-20 |
| 1124083621 | Randal V Christian | Optometrist | 232 N Union St, Opelousas, LA 70570-6208 | 2006-04-18 |
| 1083601280 | Sue Ellen Myers | Optometrist | 4313 I 49 S Service Rd, Opelousas, LA 70570-0755 | 2005-10-03 |
| 1023340114 | Eyewear Boutique, Inc | Optometrist | 232 N Union St, Opelousas, LA 70570-6208 | 2010-02-01 |
| 1972735710 | Jennifer Tate Brasseaux, Od, LLC | Optometrist | 138 Lazaro Blvd, Suite A, Opelousas, LA 70570-9115 | 2009-08-12 |
| 1275751216 | Trichelle Melancon | Optometrist | 1629 Creswell Ln Ext, Opelousas, LA 70570-7815 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261309 | Benjamin Hieu Vu | Optometrist | 5615b Jackson St, Alexandria, LA 71303-2275 | 2020-10-05 |
| 1972110401 | Dr. Glenn M Coullard | Optometrist | 11937 Ferdinand Street, Saint Francisville, LA 70775-4342 | 2020-09-29 |
| 1811513898 | Sagar Raman Desai | Optometrist | 2300 Hospital Dr Ste 140, Bossier City, LA 71111-2193 | 2020-06-24 |
| 1215553664 | Katherine Mae Casadaban | Optometrist | 1939 Hickory Ave Ste 101, Harahan, LA 70123-5609 | 2020-06-22 |
| 1629694310 | Anna Fuller | Optometrist | 116 Killgore Rd Ste 1, Ruston, LA 71270-7090 | 2020-06-18 |
| 1366072423 | Clarity Eye Care LLC | Optometrist | 925 E Judge Perez Dr Ste 1, Chalmette, LA 70043-5376 | 2020-01-17 |
| 1306484290 | Dr. Patrick Fontenot Od, LLC | Optometrist | 525 N. Cities Service Hwy Walmart Vision Center, Sulphur, LA 70663-4107 | 2019-12-11 |
| 1902456296 | Leah Elizabeth Heitmeier | Optometrist | 91 Westbank Expy Ste 510, Gretna, LA 70053-3615 | 2019-09-18 |
| 1629626437 | Daniel & Max LLC | Optometrist | 1677 Gause Blvd # 2, Slidell, LA 70458-2209 | 2019-08-27 |
| 1598311193 | Lauren Agnew | Optometrist | 3601 Highway 190 Ste B, Mandeville, LA 70471-8632 | 2019-08-11 |
| Find all providers with the same taxonomy | ||||
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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.