# SHIRLEY OGA KOECK OD LLC

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

## Provider details

- **NPI number:** 1407392939
- **Authorized official:** SHIRLEY OGA KOECK O.D. (OWNER)
- **Authorized official phone:** (818) 321-6608

## Contact information

- **Practice address:** 3726 JEAN PL, METAIRIE, LA 70002-4510
- **Practice address phone:** (818) 321-6608
- **Practice address fax:** (818) 638-7377
- **Mailing address:** 3726 JEAN PL, METAIRIE, LA 70002-4510
- **Mailing address phone:** (818) 321-6608
- **Mailing address fax:** (818) 638-7377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1621-654T | LA | Yes |

## Other

- **Enumeration date:** 01/08/2017
- **Last updated:** 01/08/2017