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Organization
STANLEY HUEY, O.D. & TINA H. FONG, O.D.
Active
Organization
STANLEY HUEY, O.D. & TINA H. FONG, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINA HUEY FONG O.D. (OPTOMETRIST/GENERAL PARTNER)
(916) 722-4280
Entity
Organization
Contact information
Practice address
12417 FAIR OAKS BLVD, SUITE 500, FAIR OAKS, CA 95628-2501
(916) 722-4280
(916) 722-0148
Mailing address
12417 FAIR OAKS BLVD., SUITE 500, FAIR OAKS, CA 95628-2558
(916) 722-4280
(916) 722-0148
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0052200
—
CA
Enumeration date
10/26/2006
Last updated
12/02/2009
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