Organization
JONATHAN DUONG O.D., INC.
Active
Organization
JONATHAN DUONG O.D., INC.
Active
Other names
Laguna Coast Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN DUONG O.D. (PRESIDENT)
(949) 715-2499
Entity
Organization
Contact information
Practice address
303 BROADWAY ST, SUITE 105, LAGUNA BEACH, CA 92651-1816
(949) 715-2499
(949) 715-2493
Mailing address
303 BROADWAY ST, SUITE 105, LAGUNA BEACH, CA 92651-1816
(949) 715-2499
(949) 715-2493
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
11127T
CA
152WV0400X
Vision Therapy Optometrist
Primary
11127T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0111270
—
CA
Enumeration date
06/01/2006
Last updated
01/20/2010
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