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NPI Code Detail

MEDICARE: TU-ANH AMY KHONG OD

MEDICARE: TU-ANH AMY KHONG 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
1152W00000XOptometristOEG002008PA

General Provider Information

NPI Number : 1699943456
Entity Type Code : Individual
Provider Name (Legal Business Name) : TU-ANH AMY KHONG OD
Provider Business Mailing Address
First Line : 1950 OLD GALLOWS RD STE 520
Second Line :
City : VIENNA
State : VA
Zip : 22182-3970
Country : US
Telephone Number : 703-847-8899
Fax Number : 571-223-6780
Provider Business Practice Location Address
First Line : 2316 MEETINGHOUSE RD
Second Line :
City : UPPER CHICHESTER
State : PA
Zip : 19061-3438
Country : US
Telephone Number : 610-485-1500
Fax Number : 610-485-4805
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2008
Last Update Date : 12/09/2021

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