Dung Optometric Group
Organization Active NPI Optometrist · Hercules, CA
NPI 1285820530 · NPPES record last updated Sep 20, 2007
Key facts
- NPI
- 1285820530
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 11418T (CA)
- Legal business name
- DUNG OPTOMETRIC GROUP
- Practice address
- 1581 Sycamore Ave
Suite 10
Hercules, CA 94547-1700 - Phone
- (510) 799-7380
- Fax
- (510) 799-7734
- NPI assigned
- Sep 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Thao Dung, OPTOMETRIST
- Title
- President/ Ceo
- Phone
- (510) 799-7380
Practitioners 2
-
Garrett Tyler Milner, O.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 11418T | CA | Yes |
Addresses
Primary practice location
1581 Sycamore Ave
Suite 10
Hercules, CA 94547-1700
Mailing address
1581 Sycamore Ave
Suite 10
Hercules, CA 94547-1700
Phone (510) 799-7380
Other providers in Hercules, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.