Aelc Leesville Optical, LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

AELC LEESVILLE OPTICAL, LLC

Practice address

1106 Port Arthur Terrace
Leesville, LA 71446-4636

Phone

(337) 392-1994

Fax

(337) 392-1944

NPI assigned

Mar 18, 2010

Last updated

Mar 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Arthur Redmond, M.D.NPI 1821059213

Title

Physician/Owner/Partner

Phone

(318) 487-2020

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael A Redmond, MD

  • Ophthalmology Physician
  • Alexandria, LA
  • NPI 1821059213
  Authorized official Same address or phone

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1023332145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 WINDERMERE BLVD",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033538",
            "telephone_number": "318-487-2020",
            "fax_number": "318-445-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 PORT ARTHUR TERRACE",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464636",
            "telephone_number": "337-392-1994",
            "fax_number": "337-392-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AELC LEESVILLE OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "REDMOND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER/PARTNER",
        "authorized_official_telephone_number": "318-487-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Leesville, LA
• Providers in Leesville, LA by specialty
• Eyewear Supplier in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.