Individual
DR. CORNEL HUBERT LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., F.O.A.A.
Contact information
Practice address
5917 JACKSON STREET EXT, ALEXANDRIA, LA 71303-2048
(318) 445-5292
(318) 448-9627
Mailing address
5917 JACKSON STREET EXT, ALEXANDRIA, LA 71303-2048
(318) 445-5292
(318) 448-9627
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
798123T
LA
152WC0802X
Corneal and Contact Management Optometrist
798123T
LA
152WL0500X
Low Vision Rehabilitation Optometrist
798123T
LA
152WP0200X
Pediatric Optometrist
798123T
LA
152WS0006X
Sports Vision Optometrist
798123T
LA
152WV0400X
Vision Therapy Optometrist
798123T
LA
152WX0102X
Occupational Vision Optometrist
798123T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174017
—
LA
Enumeration date
10/30/2007
Last updated
02/12/2008
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