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NPI Code Detail

MEDICARE: DR. HA HUYNH OD

MEDICARE:  DR. HA  HUYNH  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristS-D72AL
2152W00000XOptometrist1889-824ATLA

General Provider Information

NPI Number : 1437604931
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HA HUYNH OD
Provider Business Mailing Address
First Line : 900 N CANAL BLVD
Second Line :
City : THIBODAUX
State : LA
Zip : 70301-8096
Country : US
Telephone Number : 985-446-3276
Fax Number :
Provider Business Practice Location Address
First Line : 900 N CANAL BLVD
Second Line :
City : THIBODAUX
State : LA
Zip : 70301-8096
Country : US
Telephone Number : 985-446-3276
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2016
Last Update Date : 04/29/2020

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