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General NPI Number Information
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NPI Number | 1003722844
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Entity Type | Organization
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Legal Business Name | BRIAN VO OPTOMETRIC CORPORATION
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/27/2026
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Provider Practice Location Address
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Address Line | 8137 MIRA MESA BLVD
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City | SAN DIEGO
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State | CA
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Zip | 92126-2601
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Country | US
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Telephone | 858-879-3480
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Fax |
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Provider Business Mailing Address
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Address Line | 10667 GOLDEN WILLOW UNIT 152
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City | SAN DIEGO
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State | CA
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Zip | 92130-4950
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/PRESIDENT
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Name | BRIAN VO
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Credential | OD
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Telephone | 817-791-4654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State | NULL
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