| Eye Clinic A Professional Medical Corp. | |
| 
					1767 Imperial Blvd, Lake Charles, LA 70605-5362  | |
| (337) 478-3810 | |
| (337) 478-6360 | 
| Full Name | Eye Clinic A Professional Medical Corp. | 
|---|---|
| Type | Facility | 
| Speciality | Ophthalmology | 
| Location | 1767 Imperial Blvd, Lake Charles, Louisiana | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1619915121 | NPI | - | NPPES | 
| 1126675 | Medicaid | LA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary | 
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary | 
| Provider Name | Steven C East | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1164439923 PECOS PAC ID: 8921005927 Enrollment ID: I20061106000283  | 
| Provider Name | Lewis V Murray | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1922298488 PECOS PAC ID: 5597838466 Enrollment ID: I20080725000148  | 
| Provider Name | Larry D. Stewart | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1326020371 PECOS PAC ID: 9032244082 Enrollment ID: I20100317000048  | 
| Provider Name | Jeffrey S. Hankin | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1538141049 PECOS PAC ID: 5092844332 Enrollment ID: I20100526000125  | 
| Provider Name | Jon A. Yokubaitis | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1427030352 PECOS PAC ID: 1557450897 Enrollment ID: I20100526001107  | 
| Provider Name | Alan D Lacoste | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1275515165 PECOS PAC ID: 5193814432 Enrollment ID: I20100728001284  | 
| Provider Name | Patrick M Crawford | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1619959541 PECOS PAC ID: 3274622519 Enrollment ID: I20100729000793  | 
| Provider Name | Melvin M Gehrig | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1932181427 PECOS PAC ID: 7719011915 Enrollment ID: I20100810000261  | 
| Provider Name | Charles Lapeyre Thompson | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1306006721 PECOS PAC ID: 3375708035 Enrollment ID: I20130910000779  | 
| Provider Name | Rebecca A Kindler | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1831507961 PECOS PAC ID: 5193047561 Enrollment ID: I20141215001178  | 
| Provider Name | Margaret Y Carter | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1063778504 PECOS PAC ID: 0941505861 Enrollment ID: I20161109000543  | 
| Provider Name | Marcy L Hanudel | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1326483462 PECOS PAC ID: 0547565608 Enrollment ID: I20170623000775  | 
| Provider Name | Jonathan M Perkins | 
|---|---|
| Provider Type | Practitioner - Ophthalmology | 
| Provider Identifiers | NPI Number: 1336409051 PECOS PAC ID: 4082917091 Enrollment ID: I20180619001026  | 
| Provider Name | Lindsey N Primeaux | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1407332778 PECOS PAC ID: 9931458569 Enrollment ID: I20180815001841  | 
| Provider Name | Katherine J Fontenot | 
|---|---|
| Provider Type | Practitioner - Optometry | 
| Provider Identifiers | NPI Number: 1003393240 PECOS PAC ID: 5193074748 Enrollment ID: I20180815002922  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Eye Clinic A Professional Medical Corp. 1767 Imperial Blvd, Lake Charles, LA 70605-5362 Ph: (337) 478-3810  | Eye Clinic A Professional Medical Corp. 1767 Imperial Blvd, Lake Charles, LA 70605-5362 Ph: (337) 478-3810  |