Organization
EDEN PLAZA OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOA PHUONG NGUYEN O.D (PRESIDENT)
(619) 758-0639
Entity
Organization
Contact information
Practice address
3555 ROSECRANS ST STE 102, SAN DIEGO, CA 92110-3232
(619) 758-0639
(619) 758-0700
Mailing address
3555 ROSECRANS ST STE 102, SAN DIEGO, CA 92110-3232
(619) 758-0639
(619) 758-0700
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
OPT 12630T
CA
Other
Enumeration date
05/24/2008
Last updated
05/24/2008
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