Individual
HUAN VIET PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5373 OBERLIN AVE, LORAIN, OH 44053-3437
(440) 934-3770
(866) 423-6354
Mailing address
5373 OBERLIN AVE, LORAIN, OH 44053-3437
(440) 934-3770
(866) 423-6354
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5142
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2226497
—
OH
Enumeration date
08/31/2006
Last updated
02/20/2020
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