Individual provider Active NPI

Victor C Lacour, OD

  • Optometrist
  • McCalla, AL
National Provider Identifier
1649346446
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S552 Issued in AL
Practice address
7459 Keith Dr
MC Calla, AL 35111-3337
Phone
(205) 902-9051
NPI assigned
Nov 27, 2006
Last updated
Nov 8, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S552 AL Primary

Addresses

Primary practice location

7459 Keith Dr
MC Calla, AL 35111-3337

Mailing address

7459 Keith Dr
McCalla, AL 35111
Phone (205) 477-5200

Other practice location 1

1701 McFarland Blvd E
Tuscaloosa, AL 35404-5824
Phone (205) 462-2020

Other identifiers 2

IdentifierTypeStateIssuer
000058483MedicaidAL
3551058483OtherBC BS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100914000122 AL Practitioner - Optometry 1951426071 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
552ALMDClinical Neuropsychologist
S552ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Alabama, LLC Optometrist CurrentSince Nov 26, 2018 Accepting new patients
Family First Vision Care Kentucky, LLC Optometrist CurrentSince Aug 12, 2022 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist CurrentSince Nov 26, 2018 Accepting new patients
Myeyedr Optometry of Alabama LLC Optometrist Current Accepting new patients
Dr Victor C Lacour LLC Optometrist PastSince Aug 24, 2010 Accepting new patients

Locations

3431 Colonnade Pkwy
Ste 100
Birmingham, AL 35243
Phone (205) 967-2020

655 Fieldstown Rd
Ste 114
Gardendale, AL 35071
Phone (205) 608-8222

6723 Deerfoot Pkwy
Ste 119
Pinson, AL 35126
Phone (205) 683-3232

1701 McFarland Blvd E
Ste 121
Tuscaloosa, AL 35404
Phone (205) 409-3460

316 S Hamilton Rd
Gahanna, OH 43230

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1649346446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7459 KEITH DR",
            "city": "MCCALLA",
            "state": "AL",
            "postal_code": "35111",
            "telephone_number": "205-477-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7459 KEITH DR",
            "city": "MC CALLA",
            "state": "AL",
            "postal_code": "351113337",
            "telephone_number": "205-902-9051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 McFarland Blvd E",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354045824",
            "country_code": "US",
            "telephone_number": "205-462-2020",
            "fax_number": "205-556-8299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACOUR",
        "first_name": "VICTOR",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000058483",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "3551058483",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McCalla, AL

Sources for this page

Verify at the official NPI Registry.