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General NPI Number Information
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NPI Number | 1225979305
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Entity Type | Organization
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Legal Business Name | JIMMY VU OPTOMETRIC CORPORATION
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 27320 W LUGONIA AVE
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City | REDLANDS
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State | CA
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Zip | 92374-2041
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Country | US
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Telephone | 909-363-4827
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Fax | 909-307-3740
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Provider Business Mailing Address
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Address Line | 11322 LAKEPORT DR
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City | RIVERSIDE
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State | CA
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Zip | 92505-3470
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Country | US
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Telephone | 714-553-0952
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/OWNER
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Name | DR. JIMMY Q VU
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Credential | OD
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Telephone | 714-553-0952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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