Provider Demographics
NPI:1962669879
Name:PIERRE K. VINH, O.D., P.C.
Entity type:Organization
Organization Name:PIERRE K. VINH, O.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PIERRE
Authorized Official - Middle Name:K
Authorized Official - Last Name:VINH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:845-235-3665
Mailing Address - Street 1:5243 RIVERSIDE DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-8803
Mailing Address - Country:US
Mailing Address - Phone:845-235-3665
Mailing Address - Fax:
Practice Address - Street 1:5080 RIVERSIDE DR
Practice Address - Street 2:SUITE 400
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-1100
Practice Address - Country:US
Practice Address - Phone:478-474-3330
Practice Address - Fax:478-474-3722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT002267152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty