Organization Active NPI

Menard Eye Center, L.L.C.

  • Medical Specialty Clinic/Center
  • Lake Charles, LA
National Provider Identifier
1396068045
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
1369-514T Issued in LA
Legal business name
MENARD EYE CENTER, L.L.C.
Practice address
4448 Lake St
Lake Charles, LA 70605-4312
Phone
(337) 842-8344
Fax
(337) 439-0185
NPI assigned
Mar 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Authorized official

Name
Dr. Keith Micheal Menard, O.D.NPI 1487695482
Title
Owner/Manager/Optometrist
Phone
(337) 842-8344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 1369-514T LA Primary

Addresses

Primary practice location

4448 Lake St
Lake Charles, LA 70605-4312

Mailing address

4448 Lake St
Lake Charles, LA 70605-4312
Phone (337) 842-8344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100524000179 LA Part B Supplier - Clinic/Group Practice 9032248414 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Charles, LA

National Provider Directory

National Provider Directory

Locations

4448 Lake St
Lake Charles, LA 70605
Phone (337) 478-4733

4315 Lake St
#B
Lake Charles, LA 70605

4315 Lake St
#B
Lake Charles, LA 70605

4315 Lake St
Ste 2
Lake Charles, LA 70605
Phone (337) 478-4733

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1396068045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4448 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054312",
            "telephone_number": "337-842-8344",
            "fax_number": "337-439-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4448 LAKE ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054312",
            "telephone_number": "337-842-8344",
            "fax_number": "337-439-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENARD EYE CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "MENARD",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "MICHEAL",
        "authorized_official_title_or_position": "OWNER/MANAGER/OPTOMETRIST",
        "authorized_official_telephone_number": "337-842-8344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "LA",
            "license": "1369-514T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.