Individual provider Active NPI

Karen Marie Leblanc, O.D.

  • Optometrist
  • South Pittsburg, TN
National Provider Identifier
1891093746
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0000002965 Issued in TN
Practice address
233 S Cedar Ave
South Pittsburg, TN 37380-1303
Phone
(423) 837-8611
Fax
(423) 837-8612
NPI assigned
Mar 2, 2011
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0000002965 TN Primary

Addresses

Primary practice location

233 S Cedar Ave
South Pittsburg, TN 37380-1303

Mailing address

233 S Cedar Ave
South Pittsburg, TN 37380-1303
Phone (423) 837-8611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20140630001639 TN Practitioner - Optometry 8426273749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Spectacles Family EyecareGroup PAC ID 6305126194, 2 clinicians

Practice addresses (Care Compare)

233 S Cedar Ave
South Pittsburg, TN 37380-1303
Phone (423) 837-8611

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery91

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000002965TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Spectacles Family Eyecare Optometrist CurrentSince Jan 1, 2016 Accepting new patients

Locations

233 S Cedar Ave
South Pittsburg, TN 37380
Phone (423) 837-8611

Organizations & group practices 1

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": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1891093746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S CEDAR AVE",
            "city": "SOUTH PITTSBURG",
            "state": "TN",
            "postal_code": "373801303",
            "telephone_number": "423-837-8611",
            "fax_number": "423-837-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S CEDAR AVE",
            "city": "SOUTH PITTSBURG",
            "state": "TN",
            "postal_code": "373801303",
            "telephone_number": "423-837-8611",
            "fax_number": "423-837-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "KAREN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "0000002965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pittsburg, TN

Sources for this page

Verify at the official NPI Registry.