| NPI | 1033653449 |
|---|---|
| Doing Business As | IMAGINE OPTOMETRY |
| Entity Type | Organization |
| Authorized Contact | TAN N TRUONG Owner & President 510-717-4462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2017-09-05 |