Broussard Eye Associates, LLLP

Primary specialty

OptometristTaxonomy code 152W00000X

License

05101TG Issued in TX

Legal business name

BROUSSARD EYE ASSOCIATES, LLLP

Practice address

138 Gateway St
Beaumont, TX 77701-3706

Phone

(409) 835-2041

Fax

(409) 838-4518

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Wendy L Broussard, ODNPI 1124210547

Title

Owner

Phone

(409) 835-2041

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wendy L Broussard, OD

  • Optometrist
  • Beaumont, TX
  • NPI 1124210547
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1174564280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 GATEWAY ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013706",
            "telephone_number": "409-835-2041",
            "fax_number": "409-838-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 GATEWAY ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013706",
            "telephone_number": "409-835-2041",
            "fax_number": "409-838-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROUSSARD EYE ASSOCIATES, LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "BROUSSARD",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-835-2041",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05101TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delanea Lynn Bronson, M.S. CCC-SLP
• Kendall Rene Brookins, ATC, LAT
• Kelli Brooke Brooks, MSN, NNP-BC
• Brookshire Brothers Inc
• Joseph Brottem, Crna
• Broussard Family Chiropractic, P.a.
• Broussard Family Practice, PLLC
• Aeris Broussard, MOT, OTR/L
• Amber Broussard, PMHNP
• James Coty Broussard, DC

• Optometrist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.