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General NPI Number Information
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NPI Number | 1598506867
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Entity Type | Organization
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Legal Business Name | TINA BUI OD INC
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 01/18/2026
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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 | OWNER/OPTOMETRIST
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Name | TINA VO BUI
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Credential | O.D.
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Telephone | 858-878-9669
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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 |
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