Provider Demographics
NPI:1033189709
Name:HUYNH, KIET T (OD)
Entity Type:Individual
Prefix:DR
First Name:KIET
Middle Name:T
Last Name:HUYNH
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9343 FLORIDA BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70815-1122
Mailing Address - Country:US
Mailing Address - Phone:225-952-9038
Mailing Address - Fax:
Practice Address - Street 1:9343 FLORIDA BLVD
Practice Address - Street 2:(INSIDE VISION FOR LESS)
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70815-1122
Practice Address - Country:US
Practice Address - Phone:225-952-9038
Practice Address - Fax:225-952-9039
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1554-586T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist