Jeffrey James Labranche, ABOC, NCLEC

Primary specialty

OpticianTaxonomy code 156FX1800X

Practice address

6100 Ronald Reagan Dr
Lake Saint Louis, MO 63367-2660

Phone

(636) 625-2143

Fax

(636) 625-2148

NPI assigned

Dec 3, 2021

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 3, 2021.

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1760140933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 LAKE CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032738",
            "telephone_number": "636-493-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 RONALD REAGAN DR",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633672660",
            "telephone_number": "636-625-2143",
            "fax_number": "636-625-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABRANCHE",
        "first_name": "JEFFREY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "ABOC, NCLEC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Keetch, RD, LD
• Cherie Lanham Kimbrough, CPNP
• Veronica Muthoni Kimemia, PHD; LPC
• James Matthew Kirks, O.D.
• Alexis Knisley, PA-C
• Lake Saint Louis Chiropractic and Rehab LLC
• Lake Saint Louis Health Center LLC
• Molly Kathleen Larue, PHARMD
• Kristina Leanne Laswell, LPC
• Erica Lynn Leiser, DC

• All providers in Lake Saint Louis, MO
• Optician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.