Organization
TONY T. LUU OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY LUU OD (OWNER)
(504) 723-8012
Entity
Organization
Contact information
Practice address
16172 AIRLINE HWY, SUITE A, PRAIRIEVILLE, LA 70769
(504) 723-8012
Mailing address
16330 WINDING RIDGE AVE, PRAIRIEVILLE, LA 70769-3446
(504) 723-8012
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1262416T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1136638
—
LA
Enumeration date
09/30/2008
Last updated
09/30/2008
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