Organization
NOLA EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE PHAM O.D. (SOLE MEMBER)
(713) 382-5511
Entity
Organization
Contact information
Practice address
8101 W JUDGE PEREZ DR, INSIDE WALMART VISION CENTER, CHALMETTE, LA 70043-1661
(504) 278-2277
Mailing address
3417 CAVENDISH PL, HARVEY, LA 70058-7401
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1791-725T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659780203
NPI
LA
Enumeration date
07/31/2015
Last updated
07/31/2015
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