KEITH M MENARD (NPI# 1487695482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487695482 |
| Entity Type | Individual |
| Full Name | KEITH M MENARD |
| Credential | O.D. |
| Practice Address |
4448 Lake St Lake Charles LA 70605-4312 |
| Practice Telephone | 3374784733 |
| Practice Fax Number | 3374784734 |
| Mailing Telephone | 3374784733 |
| Mailing Fax Number | 3374784734 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2012-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1369 | LA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1116289 | 05 |
| Street Address |
4448 LAKE ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396068045 | Menard Eye Center, L.L.C. | Clinic/Center | 4448 Lake St, Lake Charles, LA 70605-4312 | 2010-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679129233 | Hoang Van Tran | Optometrist | 800 W Prien Lake Rd Ste 400, Lake Charles, LA 70601-9124 | 2019-08-09 |
| 1255983557 | Jennifer Stewart Smith | Optometrist | 1980 Tybee Ln, Lake Charles, LA 70605-4173 | 2019-07-16 |
| 1467961342 | Lauren Marie Mccain | Optometrist | 836 University Dr, Lake Charles, LA 70605-6120 | 2017-09-23 |
| 1376985507 | Hannah Eastman Fawcett | Optometrist | 339 W Prien Lake Rd, Suite 200b, Lake Charles, LA 70601-8452 | 2013-07-30 |
| 1033321765 | Shelly L. Guillory | Optometrist | 2025 Sam's Way, Sam's Optical, Lake Charles, LA 70601 | 2007-05-04 |
| 1427112044 | Norvel Barry Cranford | Optometrist | 4403 Lake Street, Lake Charles, LA 70605-4311 | 2006-12-20 |
| 1548341183 | Timothy Graves Boreing Sr. | Optometrist | 500 W Mcneese St, Lake Charles, LA 70605-5528 | 2006-10-18 |
| 1669480877 | Wayne Allan Mcclure | Optometrist | 2710 Ryan St, Lake Charles, LA 70601-7328 | 2006-08-03 |
| 1407321961 | Mccain Family Eyecare, LLC | Optometrist | 836 University Dr, Lake Charles, LA 70605-6120 | 2018-10-10 |
| 1003393240 | Katherine J. Fontenot | Optometrist | 1767 Imperial Blvd, Lake Charles, LA 70605-5362 | 2018-07-20 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.