Albert R Ducharme

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1146 Issued in FL

Legal business name

ALBERT R DUCHARME

Practice address

1320 Shelfer St
Leesburg, FL 34748-3929

Phone

(352) 728-1700

Fax

(352) 728-0057

NPI assigned

Feb 3, 2015

Last updated

Feb 3, 2015By 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

Mrs. Shannon Marie Leafers

Title

Manager

Phone

(352) 728-1700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1487044129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 SHELFER ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483929",
            "telephone_number": "352-728-1700",
            "fax_number": "352-728-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 SHELFER ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483929",
            "telephone_number": "352-728-1700",
            "fax_number": "352-728-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT R DUCHARME",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "LEAFERS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-728-1700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aegis Medical Group LLC
• Afzal Choudhry, MD, P.a
• Tochukwu C Ajalla
• Usama A Al Saedi, DMD
• Rosalinda G Alay, APRN
• Jennifer Aldamuy, APRN
• Alex M. Uson M.D.,P.a.
• Marius Alexander, MD
• Tristin Alford
• Alfredo J. Farinas MD PA

• Optometrist in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.