Provider Demographics
NPI:1831508977
Name:DUONG, HENRY
Entity type:Individual
Prefix:
First Name:HENRY
Middle Name:
Last Name:DUONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 WHEELER AVE STE A
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3216
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:626-210-2415
Practice Address - Street 1:101 WHEELER AVE STE A
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3216
Practice Address - Country:US
Practice Address - Phone:626-254-9933
Practice Address - Fax:626-210-2415
Is Sole Proprietor?:No
Enumeration Date:2014-08-02
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15047152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist