Individual
DR. PETER TIEN DZUNG PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
14044 PROMENADE COMMONS ST, GAINESVILLE, VA 20155-4072
(850) 384-1554
Mailing address
11024 OAKTON VIEW DR, OAKTON, VA 22124-2439
(850) 384-1554
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002204
VA
Other
Enumeration date
02/13/2013
Last updated
01/30/2026
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