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General NPI Number Information
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NPI Number | 1972439677
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Entity Type | Organization
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Legal Business Name | LUONG OPTOMETRY
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Dates
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Enumeration Date | 06/20/2026
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Last Update Date | 06/20/2026
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Provider Practice Location Address
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Address Line | 1111 STORY RD STE 1079
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City | SAN JOSE
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State | CA
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Zip | 95122-2670
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Country | US
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Telephone | 408-288-5037
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 WILLOW GLEN WAY
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City | SAN JOSE
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State | CA
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Zip | 95125-3349
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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
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Name | MONICA LUONG
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Credential | OD
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Telephone | 408-886-4803
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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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