Healthcare Provider Details

I. General information

NPI: 1780056325
Provider Name (Legal Business Name): NVISION OPTOMETRY, A PROFESSIONAL CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2015
Last Update Date: 10/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9856 WESTMINSTER AVE STE.125
GARDEN GROVE CA
92844-2907
US

IV. Provider business mailing address

9856 WESTMINSTER AVE STE.125
GARDEN GROVE CA
92844-2907
US

V. Phone/Fax

Practice location:
  • Phone: 714-530-0751
  • Fax:
Mailing address:
  • Phone: 714-530-0751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT9686TPG
License Number StateCA

VIII. Authorized Official

Name: DR. NGOCTHUY TRINA NGUYEN
Title or Position: PRESIDENT
Credential: O.D.
Phone: 714-530-0751