Organization Active NPI

Dr Victor C Lacour LLC

  • Optometrist
  • Tuscaloosa, AL
National Provider Identifier
1306165725
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S-552-TA752 Issued in AL
Legal business name
DR VICTOR C LACOUR LLC
Practice address
1800 McFarland Blvd E
Suite 405
Tuscaloosa, AL 35401
Phone
(205) 902-9051
Fax
(205) 477-0402
NPI assigned
May 25, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Dr. Victor C. Lacour, O.D.NPI 1649346446
Title
Owner
Phone
(205) 902-9051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X S-552-TA752 AL Primary

Addresses

Primary practice location

1800 McFarland Blvd E
Suite 405
Tuscaloosa, AL 35401

Mailing address

7459 Keith Dr
McCalla, AL 35111
Phone (205) 902-9051

Other identifiers 2

IdentifierTypeStateIssuer
000058483MedicaidAL
51065534OtherALBC/BS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1306165725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7459 KEITH DR",
            "city": "MCCALLA",
            "state": "AL",
            "postal_code": "35111",
            "telephone_number": "205-902-9051",
            "fax_number": "205-477-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MCFARLAND BLVD E",
            "address_2": "SUITE 405",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35401",
            "telephone_number": "205-902-9051",
            "fax_number": "205-477-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR VICTOR C LACOUR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "LACOUR",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-902-9051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-552-TA752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000058483",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "51065534",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.