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Organization
TRACEY H NGUYEN OD - PROFESSIONAL OPTOMETRIC CORPORATION
Active
Organization
TRACEY H NGUYEN OD - PROFESSIONAL OPTOMETRIC CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY H NGUYEN OD (OWNER/CEO)
(602) 349-2933
Entity
Organization
Contact information
Practice address
1401 WASHINGTON ST, KINGSBURG, CA 93631-1946
(559) 897-1071
Mailing address
1041 WASHINGTON STREET, KINGSBURG, CA 93631-3813
(559) 897-1071
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0697441
—
CA
Enumeration date
05/05/2018
Last updated
01/09/2025
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