Individual
KHANH NGHI TRINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
12656 JEFFERSON HWY, BATON ROUGE, LA 70816-6240
(225) 751-4100
(225) 751-4103
Mailing address
12656 JEFFERSON HWY, BATON ROUGE, LA 70816-6240
(225) 751-4100
(225) 751-4103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1601-634T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1601-634T
LOUISIANA STATE LICENSE
LA
05
—
2128591
—
LA
Enumeration date
07/30/2010
Last updated
09/06/2019
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