Individual provider Active NPI

Jennifer Elumelu, OD

  • Optometrist
  • New Orleans, LA
National Provider Identifier
1043733033
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1858-792AT Issued in LA
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

Updated by the provider on Feb 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 5 clinicians

Practice addresses (Care Compare)

4628 Rye St
Metairie, LA 70006-5314
Phone 5044541000106

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003010GAMDOptometrist

Practice roles (6 of 7)

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Aug 13, 2017 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 13, 2017 Accepting new patients
Artis Beatty a Professional Optometry Corporation Optometrist CurrentSince Apr 13, 2020 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Artis Beatty a Professional Optometry Corporation Optometrist CurrentSince Apr 13, 2020 Accepting new patients
Gulf South Eye Associates Apmc CurrentSince Apr 25, 2022 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.

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

Verify at the official NPI Registry.