Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shane Bennett Fontenot, OD

Individual provider Optometrist · NPI 1164612529

Dr. Shane Bennett Fontenot, OD is an Optometry in Jennings, Louisiana. Qualified in 2007, 19 years ago. Practices with Advanced Family Eyecare LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
19
Licensed in
LA
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1702 Johnson St
Jennings, LA 70546-3624
Phone: (337) 824-1112
Fax: (337) 824-9112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1540 (LA)

Record details

NPI number1164612529
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 31, 2007
Last updated in NPPESOctober 7, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Advanced Family Eyecare Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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