Marie C Letson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-863-TA-404 Issued in AL

Practice address

2801 Memorial Pkwy SW
Suite #193
Huntsville, AL 35801-6519

Phone

(256) 534-8423

Fax

(256) 534-8511

NPI assigned

Sep 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Marie L Bourland Other name

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

R City Eye Care, LLCGroup PAC ID 9436403342, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• R City Eye Care, LLC

  • Optometrist
  • Huntsville, AL
  • NPI 1457847360
  Medicare reassignment Care Compare group NPD
• Family Vision Center, Inc.

  • Optometrist
  • Athens, AL
  • NPI 1043399744
  NPD (past)
• Jay Lott OD

  • Optometrist
  • Madison, AL
  • NPI 1932648037
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487745741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 MEMORIAL PKWY SW",
            "address_2": "SUITE #193",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016519",
            "telephone_number": "256-534-8423",
            "fax_number": "256-534-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 MEMORIAL PKWY SW",
            "address_2": "SUITE #193",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016519",
            "telephone_number": "256-534-8423",
            "fax_number": "256-534-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETSON",
        "first_name": "MARIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-863-TA-404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "51527060",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "BOURLAND",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jason M. Leslie, LICSW, PIP
• Lindsay Rachel Lester, PHARMD
• Megan Kelley Lester, RD
• Let US Assist Home Care LLC
• Let US Assit Home Care LLC
• Phillip Leung
• Alexander Levine, PHARMD
• Melanie N Levinson, CRNP
• Shani Levy, LMFT
• Katie C Lewallen, PH.D.

• Optometrist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.