Individual provider Active NPI

Joli E Shepard, O.D.

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1457793994
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1652-686T Issued in LA
Practice address
8280 YMCA Plaza Dr BLDG 9
Baton Rouge, LA 70810-0927
Phone
(225) 767-3937
Fax
(817) 361-0758
NPI assigned
Jul 25, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8208T TX
Optometrist 152W00000X 1652-686T LA Primary

Addresses

Primary practice location

8280 YMCA Plaza Dr BLDG 9
Baton Rouge, LA 70810-0927

Mailing address

36258 Belle Savanne Ave
Geismar, LA 70734-3378
Phone (225) 933-1201

Other practice location 1

3409 Williams Blvd Ste 5
Kenner, LA 70065-3879
Phone (504) 466-0271

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200323001610 LA Practitioner - Optometry 8820222144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Achord Eye Clinic LLCGroup PAC ID 1153445044, 4 clinicians

Practice addresses (Care Compare)

8280 YMCA Plaza Dr
BLDG 9
Baton Rouge, LA 70810-0927
Phone (225) 767-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8208TXMDChiropractor
1652-686TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Achord Eye Clinic CurrentSince Feb 2, 2020 Accepting new patients
Achord Eye Clinic LLC Optometrist CurrentSince Feb 2, 2020 Accepting new patients
Aeg Louisiana Professional PC Optometrist PastSince Jan 2, 2025 Accepting new patients
Achord Eye Clinic Optometrist Past Accepting new patients

Locations

8280 Ymca Plaza Dr
Bldg 9
Baton Rouge, LA 70810
Phone (225) 767-2344

3608 Altamesa Blvd
Ft Worth, TX 76133
Phone (817) 294-0877

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1457793994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36258 BELLE SAVANNE AVE",
            "city": "GEISMAR",
            "state": "LA",
            "postal_code": "707343378",
            "telephone_number": "225-933-1201",
            "fax_number": "817-361-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 YMCA PLAZA DR BLDG 9",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100927",
            "telephone_number": "225-767-3937",
            "fax_number": "817-361-0758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3409 Williams Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Kenner",
            "state": "LA",
            "postal_code": "700653879",
            "country_code": "US",
            "telephone_number": "504-466-0271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "JOLI",
        "middle_name": "E",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-25",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8208T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1652-686T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.