Organization
20/20 IMAGE OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINH NGUYEN (OPTOMETRIST)
(510) 493-2272
Entity
Organization
Contact information
Practice address
39718 CEDAR BLVD, NEWARK, CA 94560-5360
(510) 493-2272
Mailing address
39718 CEDAR BLVD, NEWARK, CA 94560-5360
(510) 493-2272
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
11192T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0111820
—
CA
Enumeration date
05/14/2008
Last updated
05/14/2008
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