Healthcare Provider Details

I. General information

NPI: 1568027449
Provider Name (Legal Business Name): BETTER IMAGE OPTOMETRY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2019
Last Update Date: 05/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1811 HILLSDALE AVE
SAN JOSE CA
95124-3027
US

IV. Provider business mailing address

2166 PASEO DEL ORO
SAN JOSE CA
95124-2046
US

V. Phone/Fax

Practice location:
  • Phone: 408-269-1267
  • Fax:
Mailing address:
  • Phone: 408-318-3360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. PHUONG LE AI DUONG
Title or Position: CEO/OPTOMETRIST
Credential: OD
Phone: 408-318-3360