Organization
DR THOMAS Y FONG OD INC
Active
Other names
Eyewear Designs Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS Y FONG OD (PRESIDENT)
(530) 888-0303
Entity
Organization
Contact information
Practice address
1241 GRASS VALLEY HIGHWAY, AUBURN, CA 95603-3413
(530) 888-0303
(530) 888-0855
Mailing address
1241 GRASS VALLEY HIGHWAY, AUBURN, CA 95603-3413
(530) 888-0303
(530) 888-0855
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7187
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0071870
—
CA
Enumeration date
04/17/2007
Last updated
08/22/2020
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