Individual
DR. PHONG QUOC TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
20103 OLD SCENIC HWY STE 2B, ZACHARY, LA 70791
(225) 570-2753
(225) 570-2758
Mailing address
20103 OLD SCENIC HWY STE 2B, ZACHARY, LA 70791-7386
(225) 570-2753
(225) 570-2758
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1629-662T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2443381
—
LA
Enumeration date
07/28/2011
Last updated
07/10/2018
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