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NPI Code Detail

MEDICARE: OANH HOANG OD LLC

MEDICARE: OANH HOANG OD LLC
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
1152W00000XOptometristOPC4613FL

General Provider Information

NPI Number : 1073972303
Entity Type Code : Organization
Provider Name (Legal Business Name) : OANH HOANG OD LLC
Provider Business Mailing Address
First Line : 1703 PALM BEACH LAKES BLVD
Second Line : SUITE B01
City : WEST PALM BEACH
State : FL
Zip : 33401-2031
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1703 PALM BEACH LAKES BLVD
Second Line : SUITE B01
City : WEST PALM BEACH
State : FL
Zip : 33401-2031
Country : US
Telephone Number : 561-615-5638
Fax Number :
Authorized Official
Title or Position : OPTOMETRIST/MANAGER
Name : OANH HOANG
Credential :
Telephone Number : 561-596-6790
Provider Enumeration Date : 02/15/2016
Last Update Date : 02/15/2016

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Directions to “OANH HOANG OD LLC ” Practice Location

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