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Organization
SON TRANG NGUYEN OPTOMETRIC CORPORATION
Active
Organization
SON TRANG NGUYEN OPTOMETRIC CORPORATION
Active
Other names
Icon Vision Care Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
SON TRANG NGUYEN O.D. (PRESIDENT)
(408) 309-8772
Entity
Organization
Contact information
Practice address
4155 MOORPARK AVE, SUITE 21, SAN JOSE, CA 95117-1714
(408) 243-2020
(408) 243-2021
Mailing address
4155 MOORPARK AVE STE 21, SAN JOSE, CA 95117-1714
(408) 243-2020
(408) 243-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14006
CA
332H00000X
Eyewear Supplier
14006
CA
Other
Enumeration date
02/03/2011
Last updated
07/06/2011
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