# ERIC THAI OD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier EyeCare & Optical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023152683
- **Authorized official:** DR. ERIC NHAN THAI O.D. (OPTOMETRIST)
- **Authorized official phone:** (225) 246-8830

## Contact information

- **Practice address:** 11331 OLD HAMMOND HWY, SUITE B, BATON ROUGE, LA 70816-8461
- **Practice address phone:** (225) 246-8830
- **Practice address fax:** (225) 248-6097
- **Mailing address:** 11331 OLD HAMMOND HWY, SUITE B, BATON ROUGE, LA 70816-8461
- **Mailing address phone:** (225) 246-8830
- **Mailing address fax:** (225) 248-6097

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1416-549T | LA | Yes |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 08/27/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1741051 | — | LA |
| 01 | — | 5CX17 | PTAN | LA |