Don Addie Caddo Optical

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

DON ADDIE CADDO OPTICAL

Doing business as

Caddo Optical

Practice address

101 E Louisiana Ave
Vivian, LA 71082-2923

Phone

(318) 375-5945

Fax

(318) 375-5945

NPI assigned

Jun 26, 2007

Last updated

Jun 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Donald Addie

Title

Optician

Phone

(318) 375-5945

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Caddo Optical Doing business as

Locations

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1750587622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E LOUISIANA AVE",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710822923",
            "telephone_number": "318-375-5945",
            "fax_number": "318-375-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E LOUISIANA AVE",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710822923",
            "telephone_number": "318-375-5945",
            "fax_number": "318-375-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON ADDIE CADDO OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "ADDIE",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "318-375-5945",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1684295",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caddo Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Reference Lab
• Community RX
• Sandra T Dennis, MHS
• Linda Dillard
• Kelli Dominick, M.ED., LD, RD, CDE
• Olivia M Edwards
• Natarran C Evans
• Leah Gibson-Smith, LPC
• Patrick Gladney, MASTER
• Constance La'Shay Hall, COTA

• Optician in Vivian, LA
• Providers in Vivian, LA by specialty
• Optician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.