# SANDERS VISION CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083914618
- **Authorized official:** DR. CRAIG M SANDERS (OPTOMETRIST)
- **Authorized official phone:** (337) 984-9941

## Contact information

- **Practice address:** 4432 JOHNSTON STREET, LAFAYETTE, LA 70503
- **Practice address phone:** (337) 984-9941
- **Practice address fax:** (337) 984-8639
- **Mailing address:** 4432 B JOHNSTON STREET, LAFAYETTE, LA 70503
- **Mailing address phone:** (337) 984-9941
- **Mailing address fax:** (337) 984-8639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 944-171T | LA | Yes |

## Other

- **Enumeration date:** 10/29/2010
- **Last updated:** 10/29/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1335975 | — | LA |
