Individual
DR. CHRISTINA NGUYEN DEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
220 MERIDIAN AVE, SAN JOSE, CA 95126-2903
(408) 869-3400
(408) 998-1289
Mailing address
220 MERIDIAN AVE, SAN JOSE, CA 95126-2903
(408) 869-3400
(408) 998-1289
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT10150T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SD0101500
MEDICARE ID
TX
Enumeration date
08/02/2005
Last updated
04/29/2020
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