Active NPI
Claudette Smith-Boudreaux, O.D.
- Optometrist
- Church Point, LA
National Provider Identifier
1255628392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1626-659T
- Practice address
- 315 N Broadway St
Church Point, LA 70525-2914 - Phone
- (337) 684-0018
- Fax
- (337) 684-0715
- NPI assigned
- Jul 8, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7721T | TX | |
| Optometrist | 152W00000X | 1626-659T | LA | Primary |
| Optometrist | 152W00000X | 1626-659AT | LA |
Addresses
Primary practice location
315 N Broadway St
Church Point, LA 70525-2914
Mailing address
315 N Broadway St
Church Point, LA 70525-2914
Phone (337) 684-0018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2308203 | Medicaid | LA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Fairway Dr
Suite a
Crowley, LA 70526-2346
Phone (337) 250-4474
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.39 of 100
- Quality
- 69.59
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 105 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1626-659AT | LA | MD | Optometrist |
| 7721T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bec Vision, LLC | Optometrist | Current | Accepting new patients |
| Dr. Heidi B Doucet, P.L.L.C. | Optometrist | Past | Accepting new patients |
| Jason Wonch, O.D. and Associates, a.P.C. | Optometrist | Past | Accepting new patients |
Locations
200 Fairway Dr
#A
Crowley, LA 70526
Phone (337) 250-4474
919 N Parkerson Ave
Crowley, LA 70526
Organizations & group practices 3
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.
-
- Optometrist
- Church Point, LA
- NPI 1659631323
-
- Optometrist
- Lake Charles, LA
- NPI 1295769008
-
- Optometrist
- Orange, TX
- NPI 1124218771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419811200000",
"number": "1255628392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 N BROADWAY ST",
"city": "CHURCH POINT",
"state": "LA",
"postal_code": "705252914",
"telephone_number": "337-684-0018",
"fax_number": "337-684-0715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 N BROADWAY ST",
"city": "CHURCH POINT",
"state": "LA",
"postal_code": "705252914",
"telephone_number": "337-684-0018",
"fax_number": "337-684-0715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH-BOUDREAUX",
"first_name": "CLAUDETTE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-08",
"last_updated": "2014-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7721T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1626-659T",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1626-659AT",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2308203",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Church Point, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; 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.