Healthcare Provider Details

I. General information

NPI: 1932804168
Provider Name (Legal Business Name): VUONG OPTOMETRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 04/05/2023
Certification Date: 04/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8201 WESTMINSTER BLVD STE 101
WESTMINSTER CA
92683-3332
US

IV. Provider business mailing address

10652 PEARL ST
GARDEN GROVE CA
92840-5023
US

V. Phone/Fax

Practice location:
  • Phone: 714-530-2006
  • Fax:
Mailing address:
  • Phone: 714-925-8691
  • 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. CHI LINH VUONG
Title or Position: CEO
Credential: OD
Phone: 714-530-2006