Dr. Patrick Fontenot OD, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR. PATRICK FONTENOT OD, LLC

Practice address

525 N. Cities Service Hwy Walmart Vision Center
Sulphur, LA 70663-4107

Phone

(337) 625-9075

Fax

(337) 625-8105

NPI assigned

Dec 11, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Patrick Martin Fontenot, ODNPI 1013029305

Title

Optometrist

Phone

(337) 625-9075

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Patrick Martin Fontenot I, OD

  • Optometrist
  • Sulphur, LA
  • NPI 1013029305
  NPD (past) Authorized official

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1306484290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N. CITIES SERVICE HWY WALMART VISION CENTER",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706634107",
            "telephone_number": "337-625-9075",
            "fax_number": "337-625-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N. CITIES SERVICE HWY WALMART VISION CENTER",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706634107",
            "telephone_number": "337-625-9075",
            "fax_number": "337-625-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PATRICK FONTENOT OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "FONTENOT",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "337-625-9075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2346318",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Carice Donovan
• Mary Lyn Dore, APRN
• Tracy Michelle Doucet, LMT
• Dr Richard J Martin a Professional Corporation
• Dr Robert Janot LLC
• DRS Ellender and Ellender a Professional Dental Corporation
• Bonnie Rivers Drumwright, M.D
• John Richard Drumwright, M.D.
• Jeffrie Lyn Duberville, FNP-BC
• George Henry Dugas, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.