Individual provider Active NPI

Jason P Allemond, OD

  • Optometrist
  • Zachary, LA
National Provider Identifier
1649275447
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1252406T Issued in LA
Practice address
2421 Church St
Zachary, LA 70791-2710
Phone
(225) 654-1061
NPI assigned
Jun 17, 2005
Last updated
Aug 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1252406T LA Primary

Addresses

Primary practice location

2421 Church St
Zachary, LA 70791-2710

Mailing address

2421 Church St
Zachary, LA 70791-2710
Phone (225) 654-1061

Other identifiers 1

IdentifierTypeStateIssuer
1545945MedicaidLA

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
I20070228000013 LA Practitioner - Optometry 1355443987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care and Cosmetic Center, LLCGroup PAC ID 9931201738, 4 clinicians
Allemond and Jelks LLCGroup PAC ID 5597164459, 2 clinicians

Practice addresses (Care Compare)

2421 Church St
Zachary, LA 70791-2710
Phone (225) 654-1061

4263 Hwy 1 S
Port Allen, LA 70767-5824
Phone (225) 308-6311

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1252LAMDChiropractor
1252406TLAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Allemond and Jelks LLC Optometrist CurrentSince Jul 1, 2020 Accepting new patients
Eye Care and Cosmetic Center, LLC Optometrist CurrentSince Jan 1, 2007 Accepting new patients
Eye Care & Cosmetic Center, LLC CurrentSince Jan 1, 2007 Accepting new patients

Locations

4263 Hwy 1 S
Port Allen, LA 70767
Phone (225) 308-6311

2421 Church St
Zachary, LA 70791
Phone (225) 654-1061

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1649275447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912710",
            "telephone_number": "225-654-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912710",
            "telephone_number": "225-654-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEMOND",
        "first_name": "JASON",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1252406T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1545945",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.