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Organization
PRIMIGENIA OPTOMETRY INC
Active
Organization
PRIMIGENIA OPTOMETRY INC
Active
Other names
Vision Max Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIA MENGYA HUNG O.D. (PRESIDENT)
(626) 939-4588
Entity
Organization
Contact information
Practice address
14461 MERCED AVE, SUITE 101, BALDWIN PARK, CA 91706-5100
(626) 939-4588
(626) 939-4590
Mailing address
14461 MERCED AVE, SUITE 101, BALDWIN PARK, CA 91706-5100
(626) 939-4588
(626) 939-4590
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 9757 TPA
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578786398
—
CA
Enumeration date
04/10/2007
Last updated
12/28/2012
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