Organization
ICONIC OPTOMETRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THI XUAN CA NGUYEN OD (DOCTOR OF OPTOMETRY)
(909) 582-0442
Entity
Organization
Contact information
Practice address
8251 WESTMINSTER BLVD STE 205, WESTMINSTER, CA 92683-3370
(909) 582-0442
Mailing address
1401 DOROTHY LN, FULLERTON, CA 92831-2901
(909) 582-0442
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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