Organization
CREST OPTOMETRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHUONG B PHAM O.D. (PRESIDENT)
(408) 807-4344
Entity
Organization
Contact information
Practice address
173 N MORRISON AVE, STE. E, SAN JOSE, CA 95126-2712
(408) 372-7647
(408) 598-3332
Mailing address
173 N MORRISON AVE STE B, SAN JOSE, CA 95126-2712
(408) 372-7647
(408) 598-3332
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13778
CA
Other
Enumeration date
06/30/2011
Last updated
12/31/2018
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