Active NPI
Kevin Minh Duong, O.D.
- Optometrist
- Baton Rouge, LA
National Provider Identifier
1215369236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1657-691T
- Practice address
- 10000 Dawnadele Ave
Building a
Baton Rouge, LA 70809-2591 - Phone
- (225) 288-0149
- NPI assigned
- Jul 31, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 1657-691T | LA | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 1657-691T | LA | |
| Sports Vision Optometrist | 152WS0006X | 1657-691T | LA | |
| Optometrist | 152W00000X | 1657-691T | LA | Primary |
Addresses
Primary practice location
10000 Dawnadele Ave
Building a
Baton Rouge, LA 70809-2591
Mailing address
10000 Dawnadele Ave
Building a
Baton Rouge, LA 70809-2591
Phone (225) 295-4615
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1657-691T | LA | MD | Low Vision Rehabilitation Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1215369236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10000 DAWNADELE AVE",
"address_2": "BUILDING A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708092591",
"telephone_number": "225-295-4615",
"fax_number": "225-295-4616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 DAWNADELE AVE",
"address_2": "BUILDING A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708092591",
"telephone_number": "225-288-0149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "KEVIN",
"middle_name": "MINH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-31",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "LA",
"license": "1657-691T",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "LA",
"license": "1657-691T",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "LA",
"license": "1657-691T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1657-691T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.