Tara Leblanc, MOT, OTR/L

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

1615-648T Issued in LA

Practice address

6401 Bluebonnet Blvd
Suite 2192
Baton Rouge, LA 70836-6401

Phone

(708) 352-6900

NPI assigned

Jun 30, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Greater New Orleans Eye Care-Destrehan LLC

  • Optometrist
  • Destrehan, LA
  • NPI 1316362304
  NPD (past)

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315008000000",
    "number": "1568690402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7278 CAHABA VALLEY RD",
            "address_2": "#1435B",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352426485",
            "telephone_number": "225-772-9290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 BLUEBONNET BLVD",
            "address_2": "SUITE 2192",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708366401",
            "telephone_number": "708-352-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "TARA",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2011-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056008135",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "LA",
            "license": "1615-648T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056008135",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paulette Leblanc
• Sara B Leblanc, GSW
• Scott J Leblanc, D.C.
• Sherry A Leblanc, SPCH LANGUAGE PATH
• Tanner Leblanc
• Tayla Brenee Leblanc
• Maura Lebleu
• Tyler Lebouef, MD
• Erin O'Friel Lebourgeois, APRN, NNP
• Herbert W Lebourgeois III, M.D.

• Low Vision Rehabilitation Optometrist in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Low Vision Rehabilitation Optometrist in Louisiana

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