| Eric Thai Od, Llc | |
|
11331 Old Hammond Hwy, Suite B, Baton Rouge, LA 70816-8461 | |
| (225) 246-8830 | |
| (225) 248-6097 |
| Full Name | Eric Thai Od, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 11331 Old Hammond Hwy, Baton Rouge, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023152683 | NPI | - | NPPES |
| 1741051 | Medicaid | LA | |
| 5CX17 | Other | LA | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1416-549T (Louisiana) | Primary |
| Provider Name | Eric N Thai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649210873 PECOS PAC ID: 7416980354 Enrollment ID: I20070424000199 |
| Provider Name | Bichngoc Pham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942725304 PECOS PAC ID: 9133493430 Enrollment ID: I20170926001664 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Thai Od, Llc 11331 Old Hammond Hwy, Suite B, Baton Rouge, LA 70816-8461 Ph: (225) 246-8830 | Eric Thai Od, Llc 11331 Old Hammond Hwy, Suite B, Baton Rouge, LA 70816-8461 Ph: (225) 246-8830 |
Roger F. Shaw, Iii Apmc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7587 Jefferson Hwy, Baton Rouge, LA 70806 Phone: 225-923-0909 Fax: 225-923-0445 | |
Christine D. Norred, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 550 Connells Park Ln, Baton Rouge, LA 70806 Phone: 225-924-2020 Fax: 225-925-0225 | |
Dr. Thomas R Fairley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9001 Summa Ave, Baton Rouge, LA 70809 Phone: 225-761-5200 Fax: 225-761-5618 | |
Eyeconic View Eyecare Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2001 Millerville Rd, Baton Rouge, LA 70816 Phone: 225-293-7141 Fax: 225-293-2840 | |
Dr. Kiet T Huynh, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9343 Florida Blvd, (inside Vision For Less), Baton Rouge, LA 70815 Phone: 225-952-9038 Fax: 225-952-9039 | |
Dr. Andrew Kumar Ganesh, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7515 Florida Blvd, Baton Rouge, LA 70806 Phone: 225-924-5460 Fax: 225-924-0988 |