Organization
EYEWEAR SOCIETY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOM THI DINH O.D (OWNER/DOCTOR)
(954) 609-7028
Entity
Organization
Contact information
Practice address
6109 PINNACLE PKWY, COVINGTON, LA 70433-9195
(954) 609-7028
Mailing address
6109 PINNACLE PKWY, COVINGTON, LA 70433-9195
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1598-631T
LA
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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