NPI | 1215233598 |
---|---|
Doing Business As | ICON VISION CARE OPTOMETRY |
Entity Type | Organization |
Authorized Contact | SON TRANG NGUYEN President 408-309-8772 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14006) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: CA 14006) |
Enumeration Date | 2011-02-03 |
Last Update Date | 2011-07-06 |