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Organization
VISION FAIRE OPTOMETRY PC
Active
Organization
VISION FAIRE OPTOMETRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORATHAY THONGSAMOUTH OD (PRESIDENT)
(209) 545-3937
Entity
Organization
Contact information
Practice address
4213 DALE RD STE A-2, MODESTO, CA 95356-8505
(209) 545-3937
Mailing address
4213 DALE RD STE A-2, MODESTO, CA 95356-8505
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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