Individual provider Active NPI

Julie Lafreniere, OD

  • Optometrist
  • Memphis, TN
National Provider Identifier
1467976373
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3414 Issued in TN
Practice address
1245 Madison Ave
Memphis, TN 38104-2211
Phone
(901) 722-3250
NPI assigned
Aug 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3414 TN Primary

Addresses

Primary practice location

1245 Madison Ave
Memphis, TN 38104-2211

Mailing address

1245 Madison Ave
Memphis, TN 38104-2211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20170913002141 TN Practitioner - Optometry 0547533598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Optique, PLLC.Group PAC ID 2961638705, 4 clinicians
Optique Franklin PLLCGroup PAC ID 9830536978, 3 clinicians

Practice addresses (Care Compare)

2416 21St Ave S
Suite 104
Nashville, TN 37212-5307
Phone (573) 645-6400

436 Main St
Franklin, TN 37064-2750
Phone (615) 591-4191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3414TNMDEnvironmental Modification Occupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optique Franklin, PLLC Optometrist CurrentSince Aug 20, 2024 Accepting new patients
Optique, PLLC. Optometrist CurrentSince Aug 20, 2024 Accepting new patients
Insight Vision Center LLC Optometrist PastSince May 10, 2023 Accepting new patients

Locations

436 Main St
Franklin, TN 37064
Phone (615) 591-4191

2817 West End Ave
Ste 117
Nashville, TN 37203
Phone (615) 321-4393

2416 21st Ave S
Ste 104
Nashville, TN 37212
Phone (615) 321-4393

Interoperability endpoints

  • Direct secure messaging: julie.lafreniere.1@16003.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1467976373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381042211",
            "telephone_number": "901-722-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFRENIERE",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.