Phuong Khanh Thi Ho, O.D
Optometrist in Vacaville, CA. Individual provider (NPI-1).
NPI number1033366752
StatusActive
Last updated in NPPESFeb 11, 2022
Details
- NPI
- 1033366752
- Entity type
- Individual (NPI-1)
- Name
- Miss Phuong Khanh Thi Ho
- Credential
- O.D
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 25, 2008
- Last updated
- Feb 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | OPT13682T | CA | Yes |
| 152W00000X | Optometrist | oeg002096 | PA |
Practice location
1360 Burton Dr#150
Vacaville, CA 95687-3557
Phone 707-446-6500 · Fax 707-446-0154
Mailing address
2138 Ramish DrSan Jose, CA 95131-2841
Phone 408-646-8983
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