Nguyen and Lac, a Professional Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

License

13154T Issued in CA

Legal business name

NGUYEN AND LAC, A PROFESSIONAL CORPORATION

Doing business as

The Vision Shop Optometry

Practice address

12345 Mountain Ave
Suite X
Chino, CA 91710-2783

Phone

(909) 548-0300

NPI assigned

Jan 13, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Quyen Cam Lac, O.D.

Title

Ceo

Phone

(714) 785-0333

Specialties & licenses 1

Addresses

Other names 1

• The Vision Shop Optometry Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1487010906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12345 MOUNTAIN AVE",
            "address_2": "SUITE X",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102783",
            "telephone_number": "909-548-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12345 MOUNTAIN AVE",
            "address_2": "SUITE X",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917102783",
            "telephone_number": "909-548-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN AND LAC, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "LAC",
        "authorized_official_first_name": "QUYEN",
        "authorized_official_middle_name": "CAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-785-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13154T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vision Shop Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Arthur Newman, PHARMD
• Lisa Quynh Khue Ngo, PHARMD
• Tracy Ngo, D.D.S.
• Valerie Nguy, PHARMD
• Nguyen & Truong Dental Corp
• Nguyen-Ho Optometry, PC
• Bao Phuc Nguyen
• Daniel Dung Tien Nguyen, D.D.S.
• Dao Quynn Nguyen, PHD
• Duyen Nguyen, LVN

• Optometrist in Chino, CA
• Providers in Chino, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.