OrganizationActive
St. Charles Vision - Boutte LLC
NPI 1235385873 · Corneal and Contact Management Optometrist · Boutte, LA
Provider details
- NPI number
- 1235385873
- Entity type
- Organization
- Primary specialty
- Corneal and Contact Management OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Timothy Leach, Partner/Optometrist(504) 866-7352
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
13322 Highway 90
Suite L
Boutte, LA 70039-3039
Phone: (985) 785-8484
Fax: (985) 785-8483
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 446
Boutte, LA 70039-0446
Other names (DBA / former)
- Doing business as
- St. Charles Vision Outlet
Registry dates
- Enumerated
- 2008-08-14
- Last updated
- 2012-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.