Eric Burris & Joseph Leclere Et Al Burris Leclere LLC
Organization Active NPI Optometrist · Tell City, IN
NPI 1457577389 · NPPES record last updated Jun 27, 2024
Key facts
- NPI
- 1457577389
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 18002159B (IN)
- Legal business name
- ERIC BURRIS & JOSEPH LECLERE ET AL BURRIS LECLERE LLC
- Practice address
- 8570 Highway 37
Tell City, IN 47586-1705 - Phone
- (812) 547-3396
- Fax
- (812) 547-5272
- NPI assigned
- Apr 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark Edward Labhart, OD
- Title
- Doctor
- Phone
- (812) 547-3396
Practitioners 4
-
Mark Labhart, OD
-
Joseph Norman Sisley, O.D.
-
Joseph Earl Leclere, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930017046 | IN | DME Supplier - Physician - Optometrist |
9032230305 | Practice locations: Tell City, IN |
| O20111209000378 | IN | Part B Supplier - Clinic/Group Practice | 9032230305 |
Receives reassigned benefits from 4 practitioners Practice locations: Tell City, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 18002159B | IN | Yes |
Addresses
Primary practice location
8570 Highway 37
Tell City, IN 47586-1705
Mailing address
PO Box 457
Tell City, IN 47586-0457
Phone (812) 547-3396
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200378960 | Medicaid | IN |
Other names
- Invision Eye Center
- Burris & LeClere LLC
Other providers in Tell City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.