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Organization
THE EYE DOCTOR OPTOMETRY
Active
Organization
THE EYE DOCTOR OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY TUNG LE NGUYEN O.D. (OPTOMETRIST)
(949) 545-0257
Entity
Organization
Contact information
Practice address
806 AVENIDA PICO STE H, SAN CLEMENTE, CA 92673-5695
(949) 545-0257
(949) 498-8238
Mailing address
806 AVENIDA PICO STE H, SAN CLEMENTE, CA 92673-5695
(949) 545-0257
(949) 498-8238
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12845T
CA
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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