Organization
ELLEN NGUYEN OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN NGUYEN OD (PRESIDENT)
(504) 905-2377
Entity
Organization
Contact information
Practice address
4858 HIGHWAY 1, RACELAND, LA 70394-2627
(985) 532-3939
(985) 532-3966
Mailing address
6421 AVENUE A, NEW ORLEANS, LA 70124-2144
(504) 905-2344
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1608638AT
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2177401
—
LA
Enumeration date
06/27/2018
Last updated
06/27/2018
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