Individual
JOHN BUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
33 W 42ND ST, NEW YORK, NY 10036-8005
(408) 239-9446
Mailing address
443 CHILBERG CT, SAN JOSE, CA 95133-2321
(408) 239-9446
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009247
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2020
Last updated
10/07/2020
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