B&B Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

B&B EYE CARE LLC

Practice address

5237 Jones Creek Rd
Baton Rouge, LA 70817-2124

Phone

(225) 755-3937

NPI assigned

Sep 21, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Cory Boudreaux, ODNPI 1790940096

Title

Owner/Optometrist

Phone

(225) 270-3179

Specialties & licenses 1

Addresses

Other names 1

• Shenandoah Eye Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cory James Boudreaux, O.D.

  • Optometrist
  • Gonzales, LA
  • NPI 1790940096
  Medicare reassignment Care Compare group NPD Authorized official
• Jonathan Bowman, OD

  • Optometrist
  • Baton Rouge, LA
  • NPI 1033423017
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600646400000",
    "number": "1720694268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15660 GUILLORY PL",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708105629",
            "telephone_number": "225-270-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5237 JONES CREEK RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708172124",
            "telephone_number": "225-755-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&B EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "BOUDREAUX",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "225-270-3179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shenandoah Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.