| NPI | 1750587622 |
|---|---|
| Doing Business As | CADDO OPTICAL |
| Entity Type | Organization |
| Authorized Contact | DONALD ADDIE Optician 318-375-5945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2008-06-11 |