Organization
DANIEL CAO TRUONG OD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL CAO TRUONG OD (OPTOMETRIST)
(618) 972-0753
Entity
Organization
Contact information
Practice address
8915 N ALLEN RD, PEORIA, IL 61615-1534
(309) 693-9873
Mailing address
8915 N ALLEN RD, PEORIA, IL 61615-1534
(309) 693-9873
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009742
IL
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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