Optimal Eye Care Center, L.L.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1629662T Issued in LA

Legal business name

OPTIMAL EYE CARE CENTER, L.L.C.

Practice address

20103 Old Scenic Hwy Ste 2B
Zachary, LA 70791

Phone

(225) 570-2753

Fax

(225) 570-2758

NPI assigned

Jun 14, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Phong Quoc Tran, ODNPI 1255619953

Title

Owner

Phone

(337) 251-6018

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Optimal Vision Care Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phong Quoc Tran, O.D.

  • Optometrist
  • Zachary, LA
  • NPI 1255619953
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1497249361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 SUMMER BREEZE DR APT 305",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708106197",
            "telephone_number": "225-570-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20103 OLD SCENIC HWY STE 2B",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "70791",
            "telephone_number": "225-570-2753",
            "fax_number": "225-570-2758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL EYE CARE CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "PHONG",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-251-6018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1629662T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2443381",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Zachary, LA
• Providers in Zachary, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.