DON ADDIE CADDO OPTICAL (NPI# 1750587622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750587622 |
| Entity Type | Organization |
| Organization Name | DON ADDIE CADDO OPTICAL |
| Other Organization Name | CADDO OPTICAL |
| Practice Address |
101 E Louisiana Ave Vivian LA 71082-2923 |
| Practice Telephone | 3183755945 |
| Practice Fax Number | 3183755945 |
| Mailing Telephone | 3183755945 |
| Mailing Fax Number | 3183755945 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2008-06-11 |
| Authorized Official Name | MR. DONALD ADDIE (OPTICIAN) |
| Authorized Official Telephone | 3183755945 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
LA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1684295 | 05 |
| Other Name | Type Code |
|---|---|
| Caddo Optical | Doing Business As Name - Organization |
| Street Address |
101 E LOUISIANA AVE |
| City | VIVIAN |
| State | LA |
| Zip Code | 71082-2923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295207801 | Terrence Quarles | Counselor | 200 West Louisiana Ave, Vivian, LA 71082 | 2018-12-20 |
| 1083158877 | Lenorris Rainey | Counselor | 301 Edward Drive, Vivian, LA 71082 | 2016-12-13 |
| 1720213614 | Constance La'shay Hall | Occupational Therapy Assistant | 912 South Pecan St, Vivian Healthcare Center, Vivian, LA 71082 | 2009-05-20 |
| 1124155411 | North Caddo Medical Center Healthplex | Public Health or Welfare | 102 Industrial Drive, Vivian, LA 71082 | 2007-02-27 |
| 1023493160 | Catherine Sharpe | Family Medicine | 815 S Pine St, Vivian, LA 71082 | 2015-07-29 |
| 1699286138 | Natarran C Evans | Counselor | 830 Nw Front St, Vivian, LA 71082-2312 | 2017-10-23 |
| 1447614532 | Lauretta Montgomery | Counselor | 904 Mississippi Cir, Vivian, LA 71082-2552 | 2016-04-05 |
| 1194882829 | James R Mccormick | Dentist | 117 N Pine St, Vivian, LA 71082-2743 | 2007-01-02 |
| 1225542178 | Wright Way Behavioral Health Center | Community/Behavioral Health | 220 W Louisiana Ave, Vivian, LA 71082-2820 | 2017-11-29 |
| 1689200255 | Richida Shepard | Social Worker | 220 W Louisiana Ave, Vivian, LA 71082-2820 | 2020-03-16 |
| Find all providers in zip 71082 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
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| 1396201869 | National Vision Inc | Technician/Technologist | 3050 Holiday Dr, New Orleans, LA 70131-8232 | 2019-02-20 |
| 1942773965 | National Vision Inc | Technician/Technologist | 3221 Louisiana Ave Ste 104, Lafayette, LA 70501-1413 | 2019-01-03 |
| 1336633528 | Cherie Lewis | Technician/Technologist | 257 Lee Dr Ste B, Baton Rouge, LA 70808-4977 | 2018-06-20 |
| 1164942629 | National Vision, Inc. | Technician/Technologist | 312 Palace Dr, Hammond, LA 70403-6071 | 2017-06-26 |
| 1760926935 | Smarter Eyewear LLC | Technician/Technologist | 3535 Perkins Rd Ste 330, Baton Rouge, LA 70808-2292 | 2016-12-07 |
| 1336513993 | Wal-mart Stores East, Lp | Technician/Technologist | 4701 Nothport Blvd, Shreveport, LA 71107 | 2015-11-19 |
| 1780097667 | Sam's East, Inc | Technician/Technologist | 2861 Beene Blvd, Bossier City, LA 71111-5575 | 2014-06-09 |
| 1184047169 | Wal-mart Stores East, Lp | Technician/Technologist | 1331 Hwy 51, Ponchatoula, LA 70454 | 2014-01-28 |
| 1881026110 | John Olan Cook | Technician/Technologist | 3535 Perkins Rd, Suite 330, Baton Rouge, LA 70808-2262 | 2013-08-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.