Individual provider Active NPI

Stephen M Leblanc, OD

  • Optometrist
  • Alexandria, LA
National Provider Identifier
1932622735
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1851-785AT Issued in LA
Practice address
5917 Jackson St
Alexandria, LA 71303-2048
Phone
(318) 445-5292
NPI assigned
Jul 24, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1851-785AT LA Primary
Corneal and Contact Management Optometrist 152WC0802X 1851-785AT LA
Low Vision Rehabilitation Optometrist 152WL0500X 1851-785AT LA
Pediatric Optometrist 152WP0200X 1851-785AT LA
Sports Vision Optometrist 152WS0006X 1851-785AT LA
Vision Therapy Optometrist 152WV0400X 1851-785AT LA
Occupational Vision Optometrist 152WX0102X 1851-785AT LA

Addresses

Primary practice location

5917 Jackson St
Alexandria, LA 71303-2048

Mailing address

5917 Jackson St
Alexandria, LA 71303-2048
Phone (318) 445-5292

Other practice location 1

802 S 10th St
Leesville, LA 71446-4659
Phone (337) 239-2321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20170816001572 LA Practitioner - Optometry 4981976651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visual Care and Contact Lens Clinic IncGroup PAC ID 1052492717, 2 clinicians

Practice addresses (Care Compare)

5917 Jackson St Ext
Alexandria, LA 71303-2048
Phone (318) 445-5292

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1851-785ATLAMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visual Care & Contact Lens Clinic Inc Optometrist CurrentSince Jul 28, 2017 Accepting new patients

Locations

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

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

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": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932622735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 JACKSON ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032048",
            "telephone_number": "318-445-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5917 JACKSON ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032048",
            "telephone_number": "318-445-5292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 S 10th St",
            "address_purpose": "LOCATION",
            "city": "Leesville",
            "state": "LA",
            "postal_code": "714464659",
            "country_code": "US",
            "telephone_number": "337-239-2321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1851-785AT",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "LA",
            "license": "1851-785AT",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "LA",
            "license": "1851-785AT",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "LA",
            "license": "1851-785AT",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "LA",
            "license": "1851-785AT",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "LA",
            "license": "1851-785AT",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "LA",
            "license": "1851-785AT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.