Michael Bradford Jelks, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1871-806AT Issued in LA

Practice address

2421 Church St
Zachary, LA 70791-2710

Phone

(225) 654-1061

Fax

(225) 654-0791

NPI assigned

Jul 23, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 Alabama School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care and Cosmetic Center, LLCGroup PAC ID 9931201738, 4 clinicians

Allemond and Jelks LLCGroup PAC ID 5597164459, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Allemond and Jelks LLC

  • Optometrist
  • Port Allen, LA
  • NPI 1295369817
  Medicare reassignment Care Compare group NPD Authorized official
• Eye Care & Cosmetic Center, LLC

  dba Williamson Allemond Regional Eye Center

  • Ophthalmology Physician
  • Zachary, LA
  • NPI 1639258726
  Medicare reassignment Care Compare group NPD
• Eye Care and Cosmetic Center, LLC

  dba Regional Eye Associates

  • Optometrist
  • Zachary, LA
  • NPI 1346368412
  NPD

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1245717248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912710",
            "telephone_number": "225-654-1061",
            "fax_number": "225-654-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912710",
            "telephone_number": "225-654-1061",
            "fax_number": "225-654-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELKS",
        "first_name": "MICHAEL",
        "middle_name": "BRADFORD",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1871-806AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA OPTOMETRY LICENSE",
            "identifier": "1871-806AT",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth James, MD
• John Ray James, RPH
• Cassie Laird Jannise
• Nicole Marie Jarreau, FNP
• Babu Jasti, M.D.
• Stacia Jemison, LCSW
• Peyton Jenkins
• Chandi Raenel Johnson
• Courtney B Johnson
• Cynthia P. Johnson

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.