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NPI Code Detail

MEDICARE: THY DINH OD

MEDICARE: THY DINH OD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist33781CA

General Provider Information

NPI Number : 1033632344
Entity Type Code : Individual
Provider Name (Legal Business Name) : THY DINH OD
Provider Business Mailing Address
First Line : 3432 DOMINICK CT
Second Line :
City : SAN JOSE
State : CA
Zip : 95127-3418
Country : US
Telephone Number : 414-614-6500
Fax Number :
Provider Business Practice Location Address
First Line : 2201 SENTER RD
Second Line :
City : SAN JOSE
State : CA
Zip : 95112-2627
Country : US
Telephone Number : 408-271-5068
Fax Number : 408-904-6997
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2017
Last Update Date : 01/22/2026

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Directions to “ THY DINH OD” Practice Location

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