NPI | 1346478591 |
---|---|
Former Name | LINDA LUONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: CA 13719TLG) |
Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: CA 13719TLG) |
152WV0400X Optometrist, Vision Therapy (Licence: CA 13719TLG) | |
152WS0006X Optometrist, Sports Vision (Licence: CA 13719TLG) | |
152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 13719TLG) | |
Enumeration Date | 2009-06-26 |
Last Update Date | 2016-10-25 |