Organization
HAYWARD OPTOMETRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THANH HUY PHAM O.D. (OPTOMETRIST)
(510) 733-3105
Entity
Organization
Contact information
Practice address
865 B ST, HAYWARD, CA 94541-5107
(510) 733-3105
Mailing address
865 B ST, HAYWARD, CA 94541-5107
(510) 733-3105
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
12052T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0120520
—
CA
Enumeration date
04/02/2007
Last updated
01/02/2009
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