# NGUYEN QUACH OD A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558768374
- **Authorized official:** DR. NGUYEN HUNG QUACH OD (CEO / PRESIDENT)
- **Authorized official phone:** (530) 723-4005

## Contact information

- **Practice address:** 1880 PRAIRIE CITY RD, STE 130, FOLSOM, CA 95630-9593
- **Practice address phone:** (916) 985-7848
- **Practice address fax:** (888) 789-5412
- **Mailing address:** 1880 PRAIRIE CITY RD, STE 130, FOLSOM, CA 95630-9593
- **Mailing address phone:** (916) 985-7848
- **Mailing address fax:** (888) 789-5412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WS0006X | Sports Vision Optometrist | 13774 | CA | Yes |

## Other

- **Enumeration date:** 11/21/2014
- **Last updated:** 02/02/2016