Healthcare Provider Details

I. General information

NPI: 1023880044
Provider Name (Legal Business Name): BLANCHARD EYE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2023
Last Update Date: 08/30/2024
Certification Date: 08/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 RIVERSIDE DR
FRANKLINTON LA
70438-3635
US

IV. Provider business mailing address

803 RIVERSIDE DR
FRANKLINTON LA
70438-3635
US

V. Phone/Fax

Practice location:
  • Phone: 985-839-5633
  • Fax: 985-467-4218
Mailing address:
  • Phone: 985-839-5633
  • Fax: 985-839-7988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number
License Number State

VIII. Authorized Official

Name: ANITA LORRAINE BLANCHARD
Title or Position: OWNER/ OPTOMETRIST
Credential: OD
Phone: 985-839-5633