Healthcare Provider Details

I. General information

NPI: 1023207529
Provider Name (Legal Business Name): DANIEL C. NG, OD AND JULIE C. NG, OD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2007
Last Update Date: 10/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 CLEMENT ST
SAN FRANCISCO CA
94118-2417
US

IV. Provider business mailing address

59 CLEMENT ST
SAN FRANCISCO CA
94118-2417
US

V. Phone/Fax

Practice location:
  • Phone: 415-386-4488
  • Fax: 415-386-4489
Mailing address:
  • Phone: 415-386-4488
  • Fax: 415-386-4489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL CHI NG
Title or Position: OPTOMETRIS/PARTNER
Credential: OD
Phone: 41538644888