Individual
DR. PHUONG THANH DINH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2515 O' NEAL LANE, SUITE 5, BATON ROUGE, LA 70816-3309
(225) 752-2419
(225) 752-2420
Mailing address
2515 O' NEAL LANE, SUITE 5, BATON ROUGE, LA 70816-3309
(225) 752-2419
(225) 752-2420
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1407-550T
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1408981
—
LA
Enumeration date
11/24/2006
Last updated
11/25/2008
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