Organization
EVERGREEN EYECARE OPTOMETRY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BANG K. TRAN O.D. (PRESIDENT)
(408) 238-4900
Entity
Organization
Contact information
Practice address
3005 SILVER CREEK RD STE 104, SAN JOSE, CA 95121-1789
(408) 238-4900
(408) 238-4903
Mailing address
3005 SILVER CREEK RD STE 104, SAN JOSE, CA 95121-1789
(408) 238-4900
(408) 238-4903
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12009T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD005550
—
CA
Enumeration date
02/28/2008
Last updated
05/22/2009
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