Healthcare Provider Details

I. General information

NPI: 1235980129
Provider Name (Legal Business Name): LFEC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2024
Last Update Date: 03/28/2024
Certification Date: 03/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4906 AMBASSADOR CAFFERY PKWY STE 701
LAFAYETTE LA
70508-6965
US

IV. Provider business mailing address

4906 AMBASSADOR CAFFERY PKWY STE 701
LAFAYETTE LA
70508-6965
US

V. Phone/Fax

Practice location:
  • Phone: 337-989-2600
  • Fax: 337-989-2601
Mailing address:
  • Phone: 337-989-2600
  • Fax: 337-989-2601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207WX0110X
TaxonomyPediatric Ophthalmology and Strabismus Specialist Physician Physician
License Number
License Number State

VIII. Authorized Official

Name: RICHARD J PICCIONE
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 337-989-2600