Phuong Le Ai Duong in San Jose - Low Vision Rehabilitation
Phuong Le Ai Duong - NPI 1154435048
Phuong Le Ai Duong is a Low Vision Rehabilitation in San Jose, California. Phuong Le Ai Duong practices all healthcare services and medical treatments related to Low Vision Rehabilitation. The NPI Number for Phuong Le Ai Duong is 1154435048. The last update date is 2022-07-21.
Phuong Le Ai Duong's current location address is 630 Blossom Hill Rd Ste 20, San Jose, California. You can contact this provider via phone number 4083000717 and fax number 8886042519. The mailing address for Phuong Le Ai Duong is 630 Blossom Hill Rd Ste 20, San Jose, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Phuong Le Ai Duong |
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Address | 630 Blossom Hill Rd Ste 20, San Jose, California |
Phone Number | 4083000717 |
Fax Number | 8886042519 |
Sole Proprietor | Y |
Credentials | OPTOMETRIS |
NPI Number Detail
NPI Number | 1154435048 |
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Provider Enumeration Date | 2006-08-18 |
Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
Address | 630 Blossom Hill Rd Ste 20 |
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City | San Jose |
State | California (CA) |
Post Code | 951233056 |
Phone Number | 4083000717 |
Fax Number | 8886042519 |
Provider's Primary Taxonomy Detail
Speciality | Low Vision Rehabilitation |
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Taxonomy | 152Wl0500X |
Licence No | CA 12716 T |
Definition: Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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12716 | CA | LICENSE NUMBER |
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What is the unique identifier code issued to Phuong Le Ai Duong by the Centers for Medicare & Medicaid Services?
The Phuong Le Ai Duong has been assigned the NPI (National Provider Identifier) 1154435048. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Phuong Le Ai Duong located?
The Phuong Le Ai Duong is located at 630 Blossom Hill Rd Ste 20, San Jose, CA 951233056.
What is Phuong Le Ai Duong's area of expertise and its corresponding taxonomy classification?
The Phuong Le Ai Duong's field of specialization is Low Vision Rehabilitation, and it falls under the taxonomy code 152Wl0500X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1154435048 to Phuong Le Ai Duong?
The Centers for Medicare & Medicaid Services assigned the 1154435048 to Phuong Le Ai Duong on 2006-08-18.
When was the information regarding Phuong Le Ai Duong most recently updated?
The details pertaining to the Phuong Le Ai Duong, including its address, specialty, and other relevant information, were last refreshed on 2022-07-21.