Organization Active NPI

Visual Care & Contact Lens Clinic Inc

  • Optometrist
  • Alexandria, LA
National Provider Identifier
1619957347
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
798123T Issued in LA
Legal business name
VISUAL CARE & CONTACT LENS CLINIC INC
Practice address
5917 Jackson Street
Alexandria, LA 71303
Phone
(318) 445-5292
Fax
(318) 448-9627
NPI assigned
Jan 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Cornel H Leblanc, ODNPI 1639358344
Title
Owner
Phone
(318) 445-5292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 798123T LA Primary

Addresses

Primary practice location

5917 Jackson Street
Alexandria, LA 71303

Mailing address

5917 Jackson Street
Alexandria, LA 71303
Phone (318) 445-5292

Other identifiers 1

IdentifierTypeStateIssuer
798123TOtherLALICENSE

Other names 1

  • LeBlanc Eye Clinic Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080118000583 LA Part B Supplier - Clinic/Group Practice 1052492717 Receives reassigned benefits from 2 practitioners
Practice locations: Alexandria, LA; Leesville, LA

National Provider Directory

National Provider Directory

Locations

5917 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 445-5292

802 S 10th St
Ste 1
Leesville, LA 71446
Phone (337) 239-2321

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1619957347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 JACKSON STREET",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71303",
            "telephone_number": "318-445-5292",
            "fax_number": "318-448-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 JACKSON STREET",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "71303",
            "telephone_number": "318-445-5292",
            "fax_number": "318-448-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISUAL CARE & CONTACT LENS CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "CORNEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-445-5292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "798123T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "798123T",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LeBlanc Eye Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.