Organization
DOWNEY VISION OPTOMETRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY QUYEN B TIET O.D. (PRESIDENT)
(714) 600-7017
Entity
Organization
Contact information
Practice address
10353 LAKEWOOD BLVD, DOWNEY, CA 90241-2743
(562) 923-5501
(562) 923-8863
Mailing address
10353 LAKEWOOD BLVD, DOWNEY, CA 90241-2743
(562) 923-5501
(562) 923-8863
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 11489 TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0114890
—
CA
Enumeration date
03/24/2015
Last updated
03/24/2015
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