Le Clair'S Optical, PSC

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

LE CLAIR'S OPTICAL, PSC

Practice address

171 E Lincoln Trail Blvd
Radcliff, KY 40160-1253

Phone

(270) 351-5367

Fax

(270) 319-4929

NPI assigned

Jun 10, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Brandon Ray Bowen

Title

President

Phone

(270) 351-5367

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1013584648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 E LINCOLN TRAIL BLVD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401601253",
            "telephone_number": "270-351-5367",
            "fax_number": "270-319-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 E LINCOLN TRAIL BLVD",
            "city": "RADCLIFF",
            "state": "KY",
            "postal_code": "401601253",
            "telephone_number": "270-351-5367",
            "fax_number": "270-319-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE CLAIR'S OPTICAL, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-351-5367",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY SALES & USE TAX ACCOUNT",
            "identifier": "108328",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andew James King
• Knox Physical Therapy Specialists PLLC
• Thomas C Kurtz, LCSW
• Amanda Lacefield, LPCC-S
• Michael Karl Le Clair, LDO
• Joyce Letson
• Charles Lewis
• Shapel Lewis
• Lincoln Trail Medical Assoc., PLLC
• Jaleesa B Linton, LPCA

• Optician in Radcliff, KY
• Providers in Radcliff, KY by specialty
• Optician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.