NPIMap

Organization Active NPI

Lee H. Craddock O.D. Apoc

  • Optometrist
  • Morgan City, LA
National Provider Identifier
1093086977
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1208-368T Issued in LA
Legal business name
LEE H. CRADDOCK O.D. APOC
Practice address
973 Highway 90 E
Morgan City, LA 70380-5156
Phone
(985) 395-7219
NPI assigned
Jan 24, 2012
Organization subpart
Yes
Parent organization
LEE H CRADDOCK O.D. APOCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lee CraddockNPI 1487754040
Title
Optometrist
Phone
(985) 395-7219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1208-368T LA Primary

Addresses

Primary practice location

973 Highway 90 E
Morgan City, LA 70380-5156

Mailing address

973 Highway 90 E
Morgan City, LA 70380-5156

National Provider Directory

National Provider Directory
Part of
Lee H Craddock OD Apoc

Locations

973 Highway 90 E
Morgan City, LA 70380
Phone (985) 395-7219

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1093086977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 HIGHWAY 90 E",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703805156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 HIGHWAY 90 E",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703805156",
            "telephone_number": "985-395-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE H. CRADDOCK O.D. APOC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEE H CRADDOCK O.D. APOC",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "CRADDOCK",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "985-395-7219"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1208-368T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgan City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.