# KEVIN MINH DUONG, OD, APOC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174940472
- **Authorized official:** DR. KEVIN MINH DUONG OD (OWNER)
- **Authorized official phone:** (225) 288-0149

## Contact information

- **Practice address:** 10000 DAWNADELE AVE, BUILDING A, BATON ROUGE, LA 70809-2591
- **Practice address phone:** (225) 288-0149
- **Mailing address:** 42405 CEDARSTONE AVE, PRAIRIEVILLE, LA 70769-6299
- **Mailing address phone:** (225) 288-0149

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1657-691T | LA | Yes |

## Other

- **Enumeration date:** 03/25/2014
- **Last updated:** 03/25/2014