Provider Demographics
NPI:1639429947
Name:HUDSON LEBLANC, PLLC
Entity Type:Organization
Organization Name:HUDSON LEBLANC, PLLC
Other - Org Name:ELITE EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:SCRIBNER
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:806-688-9332
Mailing Address - Street 1:2323 EVERGREEN ST
Mailing Address - Street 2:
Mailing Address - City:PAMPA
Mailing Address - State:TX
Mailing Address - Zip Code:79065-2902
Mailing Address - Country:US
Mailing Address - Phone:806-688-9332
Mailing Address - Fax:
Practice Address - Street 1:1916 N HOBART ST
Practice Address - Street 2:
Practice Address - City:PAMPA
Practice Address - State:TX
Practice Address - Zip Code:79065-3413
Practice Address - Country:US
Practice Address - Phone:806-669-2824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-13
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7067TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty