Active NPI
Glaser Vision Ventures, Inc.
Doing business as St. Charles Vision
- Corneal and Contact Management Optometrist
- Boutte, LA
National Provider Identifier
1497825194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- Legal business name
- GLASER VISION VENTURES, INC.
- Doing business as
- St. Charles Vision
- Practice address
- 13322 Highway 90
Suite L
Boutte, LA 70039-3039 - Phone
- (985) 785-8484
- Fax
- (985) 785-8483
- NPI assigned
- Nov 9, 2006
- Last updated
- Jan 11, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Peggy Pitts
- Title
- Controller
- Phone
- (504) 866-7352
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | Primary |
Addresses
Primary practice location
13322 Highway 90
Suite L
Boutte, LA 70039-3039
Mailing address
13322 Highway 90
Suite L
Boutte, LA 70039-3039
Phone (985) 785-8484
Other names 1
- St. Charles Vision
National Provider Directory
National Provider DirectoryLocations
13322 Highway 90
Ste L
Boutte, LA 70039
Phone (985) 785-8484
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": "1163030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200009600000",
"number": "1497825194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13322 HIGHWAY 90",
"address_2": "SUITE L",
"city": "BOUTTE",
"state": "LA",
"postal_code": "700393039",
"telephone_number": "985-785-8484",
"fax_number": "985-785-8483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13322 HIGHWAY 90",
"address_2": "SUITE L",
"city": "BOUTTE",
"state": "LA",
"postal_code": "700393039",
"telephone_number": "985-785-8484",
"fax_number": "985-785-8483"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLASER VISION VENTURES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-09",
"last_updated": "2008-01-11",
"status": "A",
"authorized_official_last_name": "PITTS",
"authorized_official_first_name": "PEGGY",
"authorized_official_title_or_position": "CONTROLLER",
"authorized_official_telephone_number": "504-866-7352",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Charles Vision",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boutte, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.