Bryan S Jeanfreau, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1238-038AT Issued in LA

Practice address

2495 Shreveport Hwy #71
Pineville, LA 71360-4044

Phone

(318) 473-0010

NPI assigned

Dec 8, 2006

Last updated

Feb 15, 2024By the provider in NPPES

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 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alexandria Eye and Laser Center, LLC

  • Ophthalmology Physician
  • Alexandria, LA
  • NPI 1538120985
  Medicare reassignment
• Christus Health Central Louisiana

  dba CHRISTUS St. Frances Cabrini Hospitalist Group

  • Internal Medicine Physician
  • Alexandria, LA
  • NPI 1497895130
  Medicare reassignment
• Alexandri VA Medical Center

  dba Psychiatry/Chemical Dependency

  • General Acute Care Hospital
  • Pineville, LA
  • NPI 1326123050
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1538229935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2495 SHREVEPORT HWY # 71",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604044",
            "telephone_number": "318-473-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 SHREVEPORT HWY #71",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713604044",
            "telephone_number": "318-473-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANFREAU",
        "first_name": "BRYAN",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1238-038AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1182214",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880131",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber M James, FNP-C
• Amy Jameson, O.T.
• Chad Jameson
• Judy Anne Jameson, RN, MSN, C-FNP
• Kelly D Jaubert, PHARMD
• Gilda Marie Jefferson, PHARMD
• Haydee Jenkins
• Pamela Gayle Jenkins, LPN II
• Jessica Williams (Williams)
• Winnifred Jett, LCSW

• Optometrist in Pineville, LA
• Providers in Pineville, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.