Jennifer Tate Brasseaux, Od, LLC

NPI #1972735710 in Opelousas, Louisiana

Provider Information

NPI Number: 1972735710
Entity Type: Organization
Organization Name: Jennifer Tate Brasseaux, Od, LLC
Primary Specialty: Optometrist
Enumeration Date: Aug 12, 2009
Last Updated: Oct 12, 2022

Practice Location

Address: 138 LAZARO BLVD
Address 2: SUITE A
City: Opelousas
State: Louisiana
ZIP Code: 70570-9115
Phone: (337) 407-2888

Authorized Official

Name: DR. JENNIFER CLAIRE TATE-BRASSEAUX, O.D
Title: OWNER
Phone: (337) 407-2888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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