NPI 1235385873

St. Charles Vision - Boutte LLC

Organisation Corneal and Contact Management Optometrist Boutte, LA

Practice location

Address: 13322 Highway 90 Suite L, Boutte, LA 70039-3039
Phone: (985) 785-8484
Fax: (985) 785-8483
Mailing address: PO Box 446, Boutte, LA 70039-0446

Authorised official

Name: Timothy Leach
Title: Partner/Optometrist
Phone: (504) 866-7352

Registered specialties

Corneal and Contact Management Optometrist Primary

Eye and Vision Services Providers Taxonomy 152WC0802X

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Registry record

NPI: 1235385873
Entity type: Organization
NPI issued: 14 Aug 2008
Record last updated: 4 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.