# LEE H. CRADDOCK O.D. APOC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LEE H CRADDOCK O.D. APOC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093086977
- **Legal business name:** LEE H CRADDOCK O.D. APOC
- **Authorized official:** LEE CRADDOCK (OPTOMETRIST)
- **Authorized official phone:** (985) 395-7219

## Contact information

- **Practice address:** 973 HIGHWAY 90 E, MORGAN CITY, LA 70380-5156
- **Practice address phone:** (985) 395-7219
- **Mailing address:** 973 HIGHWAY 90 E, MORGAN CITY, LA 70380-5156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1208-368T | LA | Yes |

## Other

- **Enumeration date:** 01/24/2012
- **Last updated:** 02/28/2012