Organization
ICONIC EYES OPTOMETRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE N NGO O.D. (OPTOMETRIST)
(408) 887-4993
Entity
Organization
Contact information
Practice address
1055 E BROKAW RD, #50, SAN JOSE, CA 95131-2318
(408) 887-4993
Mailing address
1055 E BROKAW RD, #50, SAN JOSE, CA 95131-2318
(408) 887-4993
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14223
CA
156FX1201X
Optometric Assistant Technician
—
—
156FX1800X
Optician
—
—
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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