Lee H. Craddock, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1208-368T Issued in LA

Practice address

973 Hwy 90 E
Morgan City, LA 70380-5156

Phone

(985) 395-7219

Fax

(985) 395-7723

NPI assigned

Sep 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lee H. Craddock O.D. Apoc

  • Optometrist
  • Morgan City, LA
  • NPI 1093086977
  NPD Authorized official
• SCV Vision Outlet Inc

  dba St Charles Vision Outlet Chateau

  • Optometrist
  • Kenner, LA
  • NPI 1881679934
  NPD (past)

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1487754040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 HWY 90 E",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703805156",
            "telephone_number": "985-395-7219",
            "fax_number": "985-395-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "973 HWY 90 E",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703805156",
            "telephone_number": "985-395-7219",
            "fax_number": "985-395-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRADDOCK",
        "first_name": "LEE",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1205-368-T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1208-368T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Foret Cloutier, NP
• Arielle Collins
• Keith M Comeaux, OD
• Eileen Connors-Taofik, RN
• Core Physical Therapy & Sports Performance LLC
• C Clay Craighead III, M.D.
• Ashlynn Folse Crochet, BSN, MSN, APRN, FNPC
• Timothy Patrick Cronan, P.T.
• Alexis Jones Cumberland, LDN
• CVS Pharmacy

• Optometrist in Morgan City, LA
• Providers in Morgan City, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.