Active NPI
Jennifer Elumelu, OD
- Optometrist
- New Orleans, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1858-792AT
- Practice address
- 8040 Saint Charles Ave
New Orleans, LA 70118-2747 - Phone
- (504) 866-6311
- Fax
- (504) 866-2117
- NPI assigned
- Jul 21, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT003010 | GA | |
| Optometrist | 152W00000X | 1858-792AT | LA | Primary |
Addresses
Primary practice location
8040 Saint Charles Ave
New Orleans, LA 70118-2747
Mailing address
8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899
Other practice location 1
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3995
Other practice location 2
4004 Magazine St
New Orleans, LA 70115-2762
Phone (504) 899-3937
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171003004968 | LA | Practitioner - Optometry | 3678848561 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gulf South Eye Associates Apmc
Practice addresses (Care Compare)
4628 Rye St
Metairie, LA 70006-5314
Phone 5044541000106
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT003010 | GA | MD | Optometrist |
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Artis Beatty a Professional Optometry Corporation | Optometrist | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Artis Beatty a Professional Optometry Corporation | Optometrist | Current | Accepting new patients |
| Gulf South Eye Associates Apmc | Current | Accepting new patients |
Locations
13322 Highway 90
Ste L
Boutte, LA 70039
Phone (985) 785-8484
4628 Rye St
Metairie, LA 70006
Phone (504) 454-1000
3200 Severn Ave
Metairie, LA 70002
Phone (504) 541-9025
4224 Houma Blvd
Ste 100
Metairie, LA 70006
Phone (504) 454-1000
837 S Clearview Pkwy
New Orleans, LA 70121
Phone (504) 230-0871
1514 Jefferson Hwy
New Orleans, LA 70121
8040 Saint Charles Ave
New Orleans, LA 70118
Phone (504) 866-6311
4004 Magazine St
New Orleans, LA 70115
Phone (504) 899-3937
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Networks
- LA PPO C-SNP
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676592000000",
"number": "1043733033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8614 WESTWOOD CENTER DR FL 9",
"city": "VIENNA",
"state": "VA",
"postal_code": "221822442",
"telephone_number": "703-847-8899",
"fax_number": "703-847-8899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8040 SAINT CHARLES AVE",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701182747",
"telephone_number": "504-866-6311",
"fax_number": "504-866-2117"
}
],
"practiceLocations": [
{
"address_1": "1514 Jefferson Hwy",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701212429",
"country_code": "US",
"telephone_number": "504-842-3995",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4004 Magazine St",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701152762",
"country_code": "US",
"telephone_number": "504-899-3937",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ELUMELU",
"first_name": "JENNIFER",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-21",
"last_updated": "2023-02-17",
"certification_date": "2023-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT003010",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1858-792AT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.