Individual
DR. KEVIN MINH DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10000 DAWNADELE AVE, BUILDING A, BATON ROUGE, LA 70809-2591
(225) 288-0149
Mailing address
10000 DAWNADELE AVE, BUILDING A, BATON ROUGE, LA 70809-2591
(225) 295-4615
(225) 295-4616
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1657-691T
LA
152WC0802X
Corneal and Contact Management Optometrist
1657-691T
LA
152WL0500X
Low Vision Rehabilitation Optometrist
1657-691T
LA
152WS0006X
Sports Vision Optometrist
1657-691T
LA
Other
Enumeration date
07/31/2013
Last updated
10/21/2014
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