Individual
DR. DAT DUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000507
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016458710001
—
PA
01
—
1435485
BLUE CHOICE
PA
01
—
1850789
PERSONAL CHOICE
PA
01
—
2119844000
KEYSTONE HEALTH PLAN
PA
Enumeration date
09/25/2006
Last updated
11/10/2025
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