Caddo Optical

LBN: Don Addie Caddo Optical
Caddo Optical is an health care organization with primary practice located at 101 E Louisiana Ave , Vivian LA 71082-2923. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Don Addie Caddo Optical can be contacted via phone (318) 375-5945, or through Addie, Donald via phone (318) 375-5945.

Contact Information

Primary practice address
101 E Louisiana Ave Vivian LA 71082-2923
Phone: (318) 375-5945
Fax: (318) 375-5945
Website:
Map and Directions
Authorized official contact:
Name: Addie, Donald
Phone: (318) 375-5945

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X Louisiana

Profile Details

NPI number 1750587622
LBN Legal business name Don Addie Caddo Optical
DBA Doing business as Caddo Optical
Authorized official Addie, Donald
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2007
Last updated Jun 11th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750587622 NPPES
Louisiana MEDICAID 1684295

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