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ST. CHARLES VISION OUTLET
NPI 1235385873
Optometrist - Corneal and Contact Management in Boutte, LA

Active since August 14, 2008
13322 HIGHWAY 90, SUITE L, BOUTTE, LA 70039(985) 785-8484(985) 785-8483 Get Directions Write a Review

NPPES record last updated: January 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Charles Vision Outlet NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. CHARLES VISION OUTLET (NPI 1235385873) is a healthcare organization registered as a corneal and contact management in Boutte, Louisiana and active in the NPI registry since August 2008. The organization lists Timothy Leach, Partner/optometrist, as its authorized official.

NPPES Registry Identity

NPI1235385873
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NameST. CHARLES VISION - BOUTTE LLC
Location Address13322 HIGHWAY 90, SUITE LBoutte, LA 70039-3039
Mailing AddressPo Box 446Boutte, LA 70039-0446 · (985) 785-8484 · Fax (985) 785-8483
Phone(985) 785-8484
Fax(985) 785-8483
Organization SubpartNo
Authorized OfficialTimothy LeachPartner/optometrist · (504) 866-7352
Enumeration DateAugust 14, 2008
Last NPPES UpdateJanuary 4, 2012
✔ NPI 1235385873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
13322 HIGHWAY 90, Boutte, LA 70039
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Other Names 1

Doing Business AsSt. Charles Vision Outlet

Other Identifiers 2

Medicaid1451622LA
Medicare PIN5DR83LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLASER VISION VENTURES, INC.
Optometrist (Corneal and Contact Management)
13322 HIGHWAY 90, SUITE L
BOUTTE, LA 70039
St. Charles Parish (985) 785-8484

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Charles Vision - Boutte LLC's NPI number?

The NPI number for St. Charles Vision - Boutte LLC is 1235385873. It was assigned to this organization in the NPPES registry on August 14, 2008. The provider is doing business as St. Charles Vision Outlet.

Where is St. Charles Vision - Boutte LLC located?

St. Charles Vision - Boutte LLC is located at 13322 Highway 90 Suite L, Boutte, LA 70039. The listed phone number is (985) 785-8484.

What is St. Charles Vision - Boutte LLC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

When was this NPI record last updated?

The NPPES record for St. Charles Vision - Boutte LLC was last updated on January 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.