Jennifer Tate Brasseaux, Od, Llc | |
138 Lazaro Blvd, Suite A, Opelousas, LA 70570-9115 | |
(337) 407-2888 | |
(337) 407-2999 |
Full Name | Jennifer Tate Brasseaux, Od, Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 138 Lazaro Blvd, Opelousas, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972735710 | NPI | - | NPPES |
1021369 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1542-573T (Louisiana) | Primary |
Provider Name | Jennifer C Tate Brasseaux |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1881884245 PECOS PAC ID: 4082707849 Enrollment ID: I20070910000819 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Tate Brasseaux, Od, Llc 138 Lazaro Blvd, Suite B, Opelousas, LA 70570-9115 Ph: (337) 407-2888 | Jennifer Tate Brasseaux, Od, Llc 138 Lazaro Blvd, Suite A, Opelousas, LA 70570-9115 Ph: (337) 407-2888 |
Eyewear Boutique, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 232 N Union St, Opelousas, LA 70570 Phone: 337-948-9504 Fax: 337-942-3545 | |
Dr. Diana Tran, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4313 I 49 S Service Rd, Opelousas, LA 70570 Phone: 337-942-2024 | |
Sue Ellen Myers, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4313 I 49 S Service Rd, Opelousas, LA 70570 Phone: 337-942-2024 Fax: 337-948-6216 | |
Dr. Randal V Christian, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 232 N Union St, Opelousas, LA 70570 Phone: 337-948-9504 Fax: 337-942-3545 | |
Dr. Trichelle Melancon, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1629 Creswell Ln Ext, Opelousas, LA 70570 Phone: 254-666-1960 | |
Barbara Pearce Bailey, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1629 E Creswell Lane, Opelousas, LA 70586 Phone: 337-942-4101 Fax: 337-942-4120 | |
Terry Lam Lu, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4313 I 49 S Service Rd, Opelousas, LA 70570 Phone: 337-942-2024 |