Organization Active NPI

Eye Care, Inc

Doing business as Eye Care Optics

  • Eyewear Supplier
  • Zachary, LA
National Provider Identifier
1952474942
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYE CARE, INC
Doing business as
Eye Care Optics
Practice address
2421 Church St
Zachary, LA 70791-2710
Phone
(225) 654-3131
Fax
(225) 654-0791
NPI assigned
Nov 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Glenn M Coullard, O. D.NPI 1346209236
Title
President
Phone
(225) 654-3131

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
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

2421 Church St
Zachary, LA 70791-2710

Mailing address

PO Box 602
Zachary, LA 70791-0602
Phone (225) 654-3131

Other identifiers 1

IdentifierTypeStateIssuer
1435988MedicaidLA

Other names 1

  • Eye Care Optics Doing business as

National Provider Directory

National Provider Directory

Locations

2421 Church St
Zachary, LA 70791
Phone (225) 570-6357

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952474942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707910602",
            "telephone_number": "225-654-3131",
            "fax_number": "225-654-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 CHURCH ST",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912710",
            "telephone_number": "225-654-3131",
            "fax_number": "225-654-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COULLARD",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-654-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1435988",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Optics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.