Eden Plaza Optometry
Optometrist, Low Vision Rehabilitation in San Diego, CA. Organization (NPI-2).
NPI number1154589331
StatusActive
Last updated in NPPESMay 24, 2008
Details
- NPI
- 1154589331
- Entity type
- Organization (NPI-2)
- Legal business name
- Eden Plaza Optometry
- Organization subpart
- No
- Enumeration date
- May 24, 2008
- Last updated
- May 24, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152WL0500X | Optometrist, Low Vision Rehabilitation | OPT 12630T | CA | Yes |
Practice location
3555 Rosecrans St Ste 102San Diego, CA 92110-3232
Phone 619-758-0639 · Fax 619-758-0700
Mailing address
3555 Rosecrans St Ste 102San Diego, CA 92110-3232
Phone 619-758-0639 · Fax 619-758-0700
Authorized official
Hoa Phuong Nguyen
President
6197580639
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