Dr. Neil W Brogden, OD
Optometrist in Shreveport, LA. Individual provider (NPI-1).
NPI number1265545644
StatusActive
Last updated in NPPESFeb 7, 2023
Details
- NPI
- 1265545644
- Entity type
- Individual (NPI-1)
- Name
- Dr. Neil W Brogden
- Credential
- OD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2006
- Certification date
- Feb 7, 2023
- Last updated
- Feb 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1425-566T | LA | Yes |
Practice location
Vitreo-Retinal Associates836 Olive Street
Shreveport, LA 71104-2102
Phone 318-222-8421 · Fax 318-673-9972
Mailing address
186 Aw DriveStonewall, LA 71078
Phone 318-780-6006
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