# XUAN T. PHAM, O.D., LLC

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

## Provider details

- **NPI number:** 1194001511
- **Authorized official:** DR. XUAN PHAM O.D. (OWNER)
- **Authorized official phone:** (504) 831-3662

## Contact information

- **Practice address:** 3900 AIRLINE DR, METAIRIE, LA 70001-5704
- **Practice address phone:** (504) 831-3662
- **Practice address fax:** (504) 831-8272
- **Mailing address:** PO BOX 1673, METAIRIE, LA 70004-1673
- **Mailing address phone:** (504) 831-3662
- **Mailing address fax:** (504) 831-8272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1624-657T | LA | Yes |

## Other

- **Enumeration date:** 10/31/2011
- **Last updated:** 03/23/2017