Organization
ERIC THAI OD, LLC
Active
Other names
Premier EyeCare & Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC NHAN THAI O.D. (OPTOMETRIST)
(225) 246-8830
Entity
Organization
Contact information
Practice address
11331 OLD HAMMOND HWY, SUITE B, BATON ROUGE, LA 70816-8461
(225) 246-8830
(225) 248-6097
Mailing address
11331 OLD HAMMOND HWY, SUITE B, BATON ROUGE, LA 70816-8461
(225) 246-8830
(225) 248-6097
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1416-549T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1741051
—
LA
01
—
5CX17
PTAN
LA
Enumeration date
02/16/2007
Last updated
08/27/2012
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