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Organization
LAURA NGUYEN OD, INC
Active
Organization
LAURA NGUYEN OD, INC
Active
Other names
Clear Vision Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA NGUYEN (OPTOMETRIST)
(951) 785-0250
Entity
Organization
Contact information
Practice address
10191 MAGNOLIA AVE # B, RIVERSIDE, CA 92503-3444
(951) 785-0250
Mailing address
10191 MAGNOLIA AVE # B, 444 WATERMAN AVE., RIVERSIDE, CA 92503-3444
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10794T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0107940
—
CA
Enumeration date
04/20/2007
Last updated
01/14/2013
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