Organization
DON ADDIE CADDO OPTICAL
Active
Other names
Caddo Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD ADDIE (OPTICIAN)
(318) 375-5945
Entity
Organization
Contact information
Practice address
101 E LOUISIANA AVE, VIVIAN, LA 71082-2923
(318) 375-5945
(318) 375-5945
Mailing address
101 E LOUISIANA AVE, VIVIAN, LA 71082-2923
(318) 375-5945
(318) 375-5945
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1684295
—
LA
Enumeration date
06/26/2007
Last updated
06/11/2008
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