MEDICARE: LUONG OPTOMETRY

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
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1972439677
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUONG OPTOMETRY

Provider Business Mailing Address
First Line	:	1150 WILLOW GLEN WAY
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95125-3349
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 STORY RD STE 1079
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95122-2670
Country	:	US
Telephone Number	:	408-288-5037
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	MONICA LUONG
Credential	:	OD
Telephone Number	:	408-886-4803

Provider Enumeration Date	:	06/20/2026
Last Update Date	:	06/20/2026

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