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Organization
OPTIMAL EYE CARE CENTER, L.L.C.
Active
Organization
OPTIMAL EYE CARE CENTER, L.L.C.
Active
Other names
Optimal Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHONG QUOC TRAN OD (OWNER)
(337) 251-6018
Entity
Organization
Contact information
Practice address
20103 OLD SCENIC HWY STE 2B, ZACHARY, LA 70791
(225) 570-2753
(225) 570-2758
Mailing address
809 SUMMER BREEZE DR APT 305, BATON ROUGE, LA 70810-6197
(225) 570-2753
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1629662T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2443381
—
LA
Enumeration date
06/14/2018
Last updated
07/10/2018
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