Active NPI
Menard Eye Center, L.L.C.
- Medical Specialty Clinic/Center
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 1369-514T
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Lake Charles, LA
- NPI 1487695482
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.