# ELLEN NGUYEN OD LLC

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

## Provider details

- **NPI number:** 1184119513
- **Authorized official:** ELLEN NGUYEN OD (PRESIDENT)
- **Authorized official phone:** (504) 905-2377

## Contact information

- **Practice address:** 4858 HIGHWAY 1, RACELAND, LA 70394-2627
- **Practice address phone:** (985) 532-3939
- **Practice address fax:** (985) 532-3966
- **Mailing address:** 6421 AVENUE A, NEW ORLEANS, LA 70124-2144
- **Mailing address phone:** (504) 905-2344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1608638AT | LA | Yes |

## Other

- **Enumeration date:** 06/27/2018
- **Last updated:** 06/27/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2177401 | — | LA |