Healthcare Provider Details

I. General information

NPI: 1003690165
Provider Name (Legal Business Name): VUONG OPTOMETRY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 09/27/2024
Certification Date: 09/27/2024
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:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CHI VUONG
Title or Position: OWNER
Credential: O.D.
Phone: 714-530-2006