St. Charles Vision - Boutte LLC
St. Charles Vision - Boutte LLC is a healthcare organization registered as Corneal and Contact Management Optometrist in Boutte, LA, holding Type 2 (organization) NPI 1235385873 since 2008. The authorized official on file is Timothy Leach, Partner/Optometrist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1235385873 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | St. Charles Vision - Boutte LLC |
| Other name | <Unavail> |
| Practice address | 13322 HIGHWAY 90, SUITE L, Boutte, LA, 70039 |
| Phone | 9857858484 |
| Fax | 9857858483 |
| Enumeration date | 2008-08-14 |
| Last updated in NPPES | 2012-01-04 |
Authorized official
| Name | Timothy Leach |
|---|---|
| Title | Partner/Optometrist |
| Phone | 5048667352 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152WC0802X | Corneal and Contact Management Optometrist | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1451622 | Medicaid | LA | — |
Copy-ready billing details
Provider: St. Charles Vision - Boutte LLC NPI: 1235385873 Taxonomy: 152WC0802X (Corneal and Contact Management Optometrist) Address: 13322 HIGHWAY 90, SUITE L, Boutte, LA, 70039
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1497825194 | Glaser Vision Ventures, Inc. | Organization | Corneal and Contact Management Optometrist | Boutte, LA |
Verify this record
Cross-check NPI 1235385873 against the authoritative CMS record: view St. Charles Vision - Boutte LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for St. Charles Vision - Boutte LLC?
What is the NPI number for St. Charles Vision - Boutte LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-01-04.