Organization
OPTIMAL EYE CARE CENTER, L.L.C.
Active
Other names
Optimal Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHONG QUOC TRAN OD (OWNER)
(337) 251-6018
Entity
Organization
Contact information
Practice address
20103 OLD SCENIC HWY STE 2B, ZACHARY, LA 70791
(225) 570-2753
(225) 570-2758
Mailing address
809 SUMMER BREEZE DR APT 305, BATON ROUGE, LA 70810-6197
(225) 570-2753
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1629662T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2443381
—
LA
Enumeration date
06/14/2018
Last updated
07/10/2018
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