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Organization
JESSICA DUONG,O.D.INC.
Active
Organization
JESSICA DUONG,O.D.INC.
Active
Other names
Specs Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DUONG O.D. (CEO/OPTOMETRIST)
(909) 225-7499
Entity
Organization
Contact information
Practice address
4294 RIVERWALK PKWY STE 204, RIVERSIDE, CA 92505-3378
(909) 225-7499
Mailing address
4294 RIVERWALK PKWY STE 204, RIVERSIDE, CA 92505-3378
(909) 225-7499
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14233TLG
CA
152WC0802X
Corneal and Contact Management Optometrist
14233TLG
CA
152WL0500X
Low Vision Rehabilitation Optometrist
14233TLG
CA
152WP0200X
Pediatric Optometrist
14233TLG
CA
152WS0006X
Sports Vision Optometrist
14233TLG
CA
152WV0400X
Vision Therapy Optometrist
14233TLG
CA
152WX0102X
Occupational Vision Optometrist
14233TLG
CA
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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