NPIMap

Organization Active NPI

Complete Family Eye Care LLC

  • Optometrist
  • Lake Charles, LA
National Provider Identifier
1144690801
Registry record updated Aug 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1649-683T Issued in LA
Legal business name
COMPLETE FAMILY EYE CARE LLC
Practice address
339 W Prien Lake Rd
Suite 200 B
Lake Charles, LA 70601-8452
Phone
(337) 366-0905
Fax
(337) 474-1409
NPI assigned
Oct 6, 2015
Last updated
Aug 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2019

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

Authorized official

Name
Hannah Eastman FawcettNPI 1376985507
Title
Member/Manager/Optometrist
Phone
(337) 660-2628

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1649-683T LA Primary

Addresses

Primary practice location

339 W Prien Lake Rd
Suite 200 B
Lake Charles, LA 70601-8452

Mailing address

22141 Elton Dr
Jennings, LA 70546-8542

National Provider Directory

National Provider Directory

Locations

339 W Prien Lake Rd
Ste 200
Lake Charles, LA 70601
Phone (337) 205-7437

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566864000000",
    "number": "1144690801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22141 ELTON DR",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705468542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 W PRIEN LAKE RD",
            "address_2": "SUITE 200 B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018452",
            "telephone_number": "337-366-0905",
            "fax_number": "337-474-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2019-08-27",
        "status": "A",
        "authorized_official_last_name": "EASTMAN FAWCETT",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "MEMBER/MANAGER/OPTOMETRIST",
        "authorized_official_telephone_number": "337-660-2628"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1649-683T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.