Provider Demographics
NPI:1528798592
Name:FRANCIS, CALEB ELI (OD)
Entity type:Individual
Prefix:DR
First Name:CALEB
Middle Name:ELI
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:692 HIGHWAY 773
Mailing Address - Street 2:
Mailing Address - City:TROUT
Mailing Address - State:LA
Mailing Address - Zip Code:71371-3324
Mailing Address - Country:US
Mailing Address - Phone:318-312-1652
Mailing Address - Fax:
Practice Address - Street 1:118 SOUTH DR
Practice Address - Street 2:
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-5037
Practice Address - Country:US
Practice Address - Phone:318-352-6860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-13
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
LA1961-907AT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program