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NPI Code Detail

MEDICARE: DARREN VONG OD

MEDICARE:   DARREN  VONG  OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist11399TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538927918
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARREN VONG OD
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2600 E PFLUGERVILLE PKWY BLDG 2
Second Line :
City : PFLUGERVILLE
State : TX
Zip : 78660-5998
Country : US
Telephone Number : 512-654-6500
Fax Number : 512-654-6501
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2024
Last Update Date : 01/12/2026

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