Provider Demographics
NPI:1669221065
Name:NGUYEN, DAO JOANNA ANH (OD)
Entity type:Individual
Prefix:DR
First Name:DAO JOANNA
Middle Name:ANH
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11420 TANNER S DAVIS DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70128-5214
Mailing Address - Country:US
Mailing Address - Phone:504-303-1020
Mailing Address - Fax:
Practice Address - Street 1:130 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-2443
Practice Address - Country:US
Practice Address - Phone:985-872-2020
Practice Address - Fax:985-872-2069
Is Sole Proprietor?:No
Enumeration Date:2024-05-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2032-978AT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist