Dr. Alisa Kay Brogden, O.D.
Optometrist in Shreveport, LA. Individual provider (NPI-1).
NPI number1598878860
StatusActive
Last updated in NPPESApr 11, 2016
Details
- NPI
- 1598878860
- Entity type
- Individual (NPI-1)
- Name
- Dr. Alisa Kay Brogden
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2006
- Last updated
- Apr 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1533-563T | LA | Yes |
Practice location
5848 Line AveShreveport, LA 71106-1532
Phone 318-865-0017 · Fax 318-868-4738
Mailing address
5848 Line AveShreveport, LA 71106-1532
Phone 318-865-0017 · Fax 318-868-4738
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