Organization
FAMILY OPTOMETRY OF WALNUT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIEU TON O.D. (PRESIDENT)
(909) 869-9448
Entity
Organization
Contact information
Practice address
358 N LEMON AVE, WALNUT, CA 91789-2345
(909) 869-9448
(909) 869-9354
Mailing address
358 N LEMON AVE, WALNUT, CA 91789-2345
(909) 869-9448
(909) 869-9354
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10557TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GSD001630
—
CA
Enumeration date
07/30/2006
Last updated
08/22/2020
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