Active NPI
Eric Jarsin Boudreaux, O.D.
- Optometrist
- Church Point, LA
National Provider Identifier
1598078628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1604-637T
- Practice address
- 315 N Broadway St
Church Point, LA 70525-2914 - Phone
- (337) 684-0018
- Fax
- (337) 684-0715
- NPI assigned
- Jul 18, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7544T | TX | |
| Optometrist | 152W00000X | 1604-637T | LA | Primary |
Addresses
Primary practice location
315 N Broadway St
Church Point, LA 70525-2914
Mailing address
315 N Broadway St
Church Point, LA 70525-2914
Phone (337) 684-0018
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Fairway Dr
Suite a
Crowley, LA 70526-2346
Phone (337) 250-4474
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.94 of 100
- Quality
- 81.54
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1604-637T | LA | MD | Optometrist |
| 7544T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bec Vision, LLC | Optometrist | Current | Accepting new patients |
| Dr. Heidi B Doucet, P.L.L.C. | Optometrist | Past | Accepting new patients |
Locations
200 Fairway Dr
#A
Crowley, LA 70526
Phone (337) 250-4474
919 N Parkerson Ave
Crowley, LA 70526
Interoperability endpoints
- eric.boudreauxod@direct.revolutionehr.com
Organizations & group practices 2
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.
-
- Optometrist
- Orange, TX
- NPI 1124218771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337558400000",
"number": "1598078628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 N BROADWAY ST",
"city": "CHURCH POINT",
"state": "LA",
"postal_code": "705252914",
"telephone_number": "337-684-0018",
"fax_number": "337-684-0715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 N BROADWAY ST",
"city": "CHURCH POINT",
"state": "LA",
"postal_code": "705252914",
"telephone_number": "337-684-0018",
"fax_number": "337-684-0715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUDREAUX",
"first_name": "ERIC",
"middle_name": "JARSIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-18",
"last_updated": "2012-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7544T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1604-637T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Church Point, LA
- Barousse Family Clinic LLC
- Bayou Family Healthcare LLC (Church Point Family Care Center)
- Bec Vision, LLC (LA Eye & Vision Center)
- Denise Bertrand, O.T.
- Chad Bodin, R.P.H.
- Marjorie L Bourgeois, PT05/12/1946
- Braden Guidry, PT, LLC
- Martin Shawn Briggs, DDS
- Church Point Community Pharmacy
- Church Point Drug Inc (Church Point Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.