| 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 |