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General NPI Number Information
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NPI Number | 1497107312
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Entity Type | Individual
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Provider Name | TINA BUI O.D.
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Gender | Female
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Dates
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Enumeration Date | 07/02/2016
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 5020 BALTIMORE DR STE B
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City | LA MESA
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State | CA
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Zip | 91942-0692
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Country | US
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Telephone | 619-464-8303
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Fax | 619-464-4971
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Provider Business Mailing Address
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Address Line | 5020 BALTIMORE DR STE B
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City | LA MESA
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State | CA
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Zip | 91942-0692
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Country | US
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Telephone | 619-464-8303
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Fax | 619-464-4971
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 33435
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License Number State | CA
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