Keith M Menard, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1369 Issued in LA

Practice address

4448 Lake St
Lake Charles, LA 70605-4312

Phone

(337) 478-4733

Fax

(337) 478-4734

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Southern College of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Menard Eye Center, L.L.C.

  • Medical Specialty Clinic/Center
  • Lake Charles, LA
  • NPI 1396068045
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1487695482",
    "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": "337-478-4733",
            "fax_number": "337-478-4734"
        },
        {
            "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": "337-478-4733",
            "fax_number": "337-478-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENARD",
        "first_name": "KEITH",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1116289",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kasie Lawson Melerine, M.S. CCC-SLP
• Ray Melerine, LPC, LMFT, RPT-S
• Shannon Marie Melvin
• Memorial Medical Group, LLC
• Menard Eye Center, L.L.C.
• Enrique Antonio Mendez, M.D.
• Mental Connections of Southwest LLC
• Merakey Pennsylvania
• Monica Mere
• Merlines Transportation LLC

• Optometrist in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.