SCV Vision Outlet Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SCV VISION OUTLET INC

Practice address

817 W Esplanade Ave
Ste C
Kenner, LA 70065-6287

Phone

(504) 712-3551

Fax

(504) 712-3556

NPI assigned

Dec 13, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Janet Duplessis

Title

Insurance Administrator

Phone

(504) 247-9116

Specialties & licenses 1

Addresses

Other names 1

• St Charles Vision Outlet Chateau Doing business as

Locations

Practitioners 3

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

• Lee H. Craddock, O.D.

  • Optometrist
  • Morgan City, LA
  • NPI 1487754040
  NPD (past)
• Charles Gene Glaser, OD

  • Optometrist
  • New Orleans, LA
  • NPI 1104818384
  NPD (past)
• Ivan Bruce Bank, O.D. ,F.A.A.O.

  • Corneal and Contact Management Optometrist
  • Dallas, TX
  • NPI 1194706861
  NPD (past)

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1881679934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 W ESPLANADE AVE",
            "address_2": "STE C",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700656219",
            "telephone_number": "504-712-3551",
            "fax_number": "504-712-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 W ESPLANADE AVE",
            "address_2": "STE C",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700656287",
            "telephone_number": "504-712-3551",
            "fax_number": "504-712-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCV VISION OUTLET INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "DUPLESSIS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "INSURANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "504-247-9116",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Charles Vision Outlet Chateau",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel Lynn Schneider, PA-C
• Clint Sumbera Schoolfield Jr., MD
• Melissa M. Schwab, NP
• Elliot Jude Scott, MD
• Tiffany R. Scott, ST/68W
• Secure Patient Delivery, LLC
• Christoper Sellers, CRNA
• Senior Living X Kenner, LLC
• Alexandra Gonzalez Sens
• Servicios de Salude En El Hogar

• Optometrist in Kenner, LA
• Providers in Kenner, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; 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.