PHUONG LE AI DUONG (NPI# 1154435048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154435048 |
| Entity Type | Individual |
| Full Name | PHUONG LE AI DUONG |
| Credential | OPTOMETRIST (O.D.) |
| Practice Address |
1811 Hillsdale Ave San Jose CA 95124-3027 |
| Mailing Address |
630 Blossom Hill Rd Ste 20 San Jose CA 95123-3056 |
| Practice Telephone | 4082691267 |
| Practice Fax Number | 4082691265 |
| Mailing Telephone | 4083000717 |
| Mailing Fax Number | 8886042519 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2019-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
CA 12716 T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE NUMBER | 12716 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7150 Camino Arroyo, Gilroy, CA 950207347 | 4088481865 | 4088485666 |
| 630 Blossom Hill Rd Ste 20, San Jose, CA 951233056 | (408) 300-0717 | 8886042519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114542693 | Phuong Thuy Duong | Student in an Organized Health Care Education/Training Program | 5501 Old York Rd, Philadelphia, PA 19141-3018 | 2020-06-10 |
| Street Address |
1811 HILLSDALE AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95124-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801818596 | Garfield Beach Cvs LLC | Pharmacy | 1811 Hillsdale Ave, San Jose, CA 95124-3027 | 2006-07-24 |
| 1568027449 | Better Image Optometry Inc | Optometrist | 1811 Hillsdale Ave, San Jose, CA 95124-3027 | 2019-05-06 |
| 1316433550 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 1811 Hillsdale Ave, San Jose, CA 95124 | 2018-07-10 |
| 1740567106 | Nadia M Mustafa | Pharmacist | 1811 Hillsdale Ave, San Jose, CA 95124-3027 | 2011-11-12 |
| 1891083796 | Tam Anh Do | Pharmacist | 1811 Hillsdale Ave, San Jose, CA 95124-3027 | 2011-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720548894 | Talkawhile Child and Family Therapy Center PC | Marriage & Family Therapist | 2577 Samaritain Drive, Suite 715, San Jose, CA 95124 | 2019-03-23 |
| 1558847129 | Anne Marie Hamilton | Nurse Practitioner | 2851 Samaritan Dr., San Jose, CA 95124 | 2018-07-17 |
| 1619488665 | Vicky Nguyen | Dentist | 3994 S Bascom Ave # 5, San Jose, CA 95124 | 2017-10-17 |
| 1255840625 | Emmanuel Rohani | Pharmacist | 4623 Fallstone Court, San Jose, CA 95124 | 2017-09-28 |
| 1669928933 | Karlena Lara-otero | Genetic Counselor, MS | 2589 Samaritan Drive, Floor 3, Mail Code: 7532, San Jose, CA 95124 | 2016-08-28 |
| 1982081287 | Shraddha Patel | Dietitian, Registered | 3535 Ross Ave Ste 202, San Jose, CA 95124 | 2015-05-06 |
| 1679966576 | Andrew Francis | Marriage & Family Therapist | 1936 Camden Ave Ste 5a, San Jose, CA 95124 | 2015-03-17 |
| 1164835914 | Addiction Recovery Center | Clinic/Center | 3880 S. Bascom Ave #206, San Jose, CA 95124 | 2014-06-10 |
| 1780005199 | Swathi Balantrapu | Physical Therapist | 14587 Branham Ln, San Jose, CA 95124 | 2014-01-02 |
| 1033405196 | Rick Li Pan | Dentist | 3535 Ross Ave, #201, San Jose, CA 95124 | 2011-06-27 |
| Find all providers in zip 95124 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447804844 | Vista Center for The Blind and Visually Impaired | Optometrist | 101 N Bascom Ave, San Jose, CA 95128-1805 | 2019-07-24 |
| 1437218864 | Thao Tran, O.d., Inc | Optometrist | 684 N 1st St, San Jose, CA 95112-5109 | 2006-12-08 |
| 1659688182 | Lisa Kit Yi Ko Optometrist Inc. | Optometrist | 618 Blossom Hill Rd, Suite 100, San Jose, CA 95123-3048 | 2010-09-03 |
| 1750419750 | Linda M Yee | Optometrist | 6531 Crown Blvd Ste 4, San Jose, CA 95120-2906 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316260052 | The Center for The Partially Sighted | Optometrist | 18425 Burbank Blvd Ste 706, Tarzana, CA 91356-6668 | 2010-03-09 |
| 1891027272 | Richard Jeffrey Shuldiner | Optometrist | 761 Payette Dr, Corona, CA 92881-8494 | 2010-02-09 |
| 1013249986 | Earle Baum Center of The Blind Inc. | Optometrist | 4539 Occidental Rd, Santa Rosa, CA 95401-5635 | 2010-02-03 |
| 1154589331 | Eden Plaza Optometry | Optometrist | 3555 Rosecrans St Ste 102, San Diego, CA 92110-3232 | 2008-05-24 |
| 1104008382 | Dana Linnea Rawlings | Optometrist | 1000 Lakes Dr Ste 180, West Covina, CA 91790-2927 | 2007-11-29 |
| 1841333192 | Lise Kim Tong | Optometrist | 958 Moraga Rd, Lafayette, CA 94549-4525 | 2007-02-15 |
| 1114064664 | Robert Bruce Greer | Optometrist | 360 Minor Hall, University of California, Berkeley, CA 94720-2020 | 2007-01-31 |
| 1669528089 | Thanh Kien Truong | Optometrist | 3443 Balboa St Ste B, San Francisco, CA 94121-2701 | 2007-01-26 |
| 1346305869 | Nina Coleen Getz | Optometrist | 301 W Huntington Dr Ste 605, Arcadia, CA 91007-1514 | 2006-12-26 |
| 1962581421 | Thao Phuong Tran | Optometrist | 44546 10th Street West, Lancaster, CA 93534-3333 | 2006-11-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.