Individual
DR. ELLEN M NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4858 HIGHWAY 1, RACELAND, LA 70394
(985) 532-3939
Mailing address
6421 AVENUE A, NEW ORLEANS, LA 70124-2144
(504) 905-2377
(312) 949-7389
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046.010392
IL
152W00000X
Optometrist
Primary
1606638AT
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046010392
—
IL
05
—
2177401
—
LA
Enumeration date
07/12/2010
Last updated
06/28/2018
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