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General NPI Number Information
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NPI Number | 1871459404
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Entity Type | Organization
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Legal Business Name | KAN OPTOMETRY, LLC
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Dates
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Enumeration Date | 12/29/2025
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Last Update Date | 12/29/2025
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Provider Practice Location Address
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Address Line | 181 NORTHSHORE BLVD
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City | SLIDELL
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State | LA
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Zip | 70460-6821
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Country | US
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Telephone | 985-641-1331
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Fax |
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Provider Business Mailing Address
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Address Line | 17403 CASTLE DR
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City | PRAIRIEVILLE
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State | LA
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Zip | 70769-5200
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Country | US
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Telephone | 225-276-5825
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | KATIE ANH NGUYEN
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Credential | OD
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Telephone | 225-276-5825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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