Patrick Martin Fontenot I, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1322457T Issued in LA

Practice address

525 N Cities Service Hwy
Sulphur, LA 70663-4107

Phone

(337) 625-9075

Fax

(337) 625-8105

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Patrick Fontenot OD, LLC

  • Optometrist
  • Sulphur, LA
  • NPI 1306484290
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013029305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 JUSTIN LN",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706057110",
            "telephone_number": "337-625-9075",
            "fax_number": "337-625-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N CITIES SERVICE HWY",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706634107",
            "telephone_number": "337-625-9075",
            "fax_number": "337-625-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "PATRICK",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1322457T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bill Poyntz Fey Jr., D.C.
• Penelope Alayne Fey, D.C.
• Casey Fitts, DPT
• Jane S Flynt
• Colleen Fontenot, MS, RD, LDN
• Ryan Forbes, LPC
• Glyn Joseph Foreman II, R.PH.
• Kevin Thompson Fortenberry, PHARM D
• Frankie Alisha Coaching and Consulting LLC
• Steven Franks, PHD

• Optometrist in Sulphur, LA
• Providers in Sulphur, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.