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Organization

MICHAEL DUONG, OD

Active
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Organization

MICHAEL DUONG, OD

Active
Other names
Optometric Center and Eyewear Galleria
Organization subpart
No

Provider details

NPI number
Authorized official
LYNDSY FAULKNER CPOC (ACCOUNTS MANAGER)
(925) 743-1222
Entity
Organization

Contact information

Practice address
2551 SAN RAMON VALLEY BLVD STE 101, SAN RAMON, CA 94583-1661
(925) 743-1222
(925) 743-1221
Mailing address
2551 SAN RAMON VALLEY BLVD STE 101, SAN RAMON, CA 94583-1661
(925) 743-1222
(925) 743-1221

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14540TLG
CA
152W00000X
Optometrist
5287T
CA
152WC0802X
Corneal and Contact Management Optometrist
14540TLG
CA
152WP0200X
Pediatric Optometrist
14540TLG
CA

Other

Enumeration date
07/03/2017
Last updated
07/21/2022
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