Jennifer Claire Tate-Brasseaux, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1542-573AT Issued in LA

Practice address

138 Lazaro Blvd
Suite B
Opelousas, LA 70570-9115

Phone

(337) 407-2888

Fax

(337) 407-2999

NPI assigned

Jul 31, 2007

Last updated

Oct 12, 2022By the provider in NPPES

Sex

Female

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

Specialty

Optometry

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eyecare@drjennifertatebrasseaux.eyeclinicdirect.net

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.

• Jennifer Tate Brasseaux, OD, LLC

  • Optometrist
  • Opelousas, LA
  • NPI 1972735710
  Medicare reassignment NPD Authorized official
• Lahaye Total Eye Care of Lake Charles, Inc

  • Clinic/Center
  • Lake Charles, LA
  • NPI 1497742613
  NPD (past)

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1881884245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 LAZARO BLVD",
            "address_2": "STE B",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705709115",
            "telephone_number": "337-407-2888",
            "fax_number": "337-407-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 LAZARO BLVD",
            "address_2": "SUITE B",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705709115",
            "telephone_number": "337-407-2888",
            "fax_number": "337-407-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE-BRASSEAUX",
        "first_name": "JENNIFER",
        "middle_name": "CLAIRE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1542-573AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021369",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "3A377",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sylvia's Caring Companions Health Care Services
• Sylvia's Caring Companions Health Care Services
• Sylvia's Caring Companions Health Care Services Inc.
• T&J Trans
• Noor Tariq, DO
• Kevin J Tate, ARDMS RVT RCS ARRT
• Rachael A Tate, M.D.
• Richard Tate, MD
• Shane A Tatman, RPH
• Keri Taylor, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; 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.

Verify at the official NPI Registry.