Kim Nguyen, OD
Optometrist in Marrero, LA. Individual provider (NPI-1).
NPI number1003536749
StatusActive
Last updated in NPPESJan 17, 2025
Details
- NPI
- 1003536749
- Entity type
- Individual (NPI-1)
- Name
- Kim Nguyen
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 1, 2022
- Certification date
- Jan 17, 2025
- Last updated
- Jan 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2012-958AT | LA | Yes |
| 152W00000X | Optometrist | S-F05-TA-C64 | AL | |
| 152W00000X | Optometrist | 009630 | NY |
Practice location
5572 Avery DrMarrero, LA 70072-5138
Phone 504-214-1627
Mailing address
1111 Medical Center BlvdMarrero, LA 70072-3151
Phone 504-347-6330
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All 22 Optometrist providers in Marrero · All 1,518 providers in Marrero
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