MEDICARE: VISION EXPRESS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist
2	332H00000X	Eyewear Supplier		LA

General Provider Information

NPI Number	:	1285875302
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISION EXPRESS, LLC

Provider Business Mailing Address
First Line	:	1600B CAMELLIA BLVD
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-6393
Country	:	US
Telephone Number	:	337-988-6442
Fax Number	:	844-411-7477

Provider Business Practice Location Address
First Line	:	1600 CAMELLIA BLVD # B
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70508-6395
Country	:	US
Telephone Number	:	337-988-6442
Fax Number	:	844-411-7477

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DR. JEFFREY D BOUDREAUX
Credential	:	O.D.
Telephone Number	:	337-988-6442

Provider Enumeration Date	:	03/19/2009
Last Update Date	:	01/19/2026

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Directions to “VISION EXPRESS, LLC ” Practice Location

Language	Start Address	Practice Location

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