# DESOTO FAMILY EYE CARE LLC

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

## Provider details

- **NPI number:** 1740571751
- **Authorized official:** DR. PETE WARDELL O.D. (MEMBER)
- **Authorized official phone:** (318) 332-6171

## Contact information

- **Practice address:** 946 KEYSER AVE, NATCHITOCHES, LA 71457-6266
- **Practice address phone:** (318) 332-6171
- **Practice address fax:** (318) 352-3145
- **Mailing address:** 946 KEYSER AVE, NATCHITOCHES, LA 71457-6266
- **Mailing address phone:** (318) 332-6171
- **Mailing address fax:** (318) 352-3145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1419-543T | LA | Yes |

## Other

- **Enumeration date:** 04/25/2011
- **Last updated:** 04/25/2011
