Provider Demographics
NPI:1992871826
Name:EZ VISION CARE OPTOMETRY
Entity type:Organization
Organization Name:EZ VISION CARE OPTOMETRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRY DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LINH
Authorized Official - Middle Name:VU
Authorized Official - Last Name:DINH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:714-775-0026
Mailing Address - Street 1:10161 BOLSA AVE STE 104C
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-6779
Mailing Address - Country:US
Mailing Address - Phone:714-775-0026
Mailing Address - Fax:714-775-0019
Practice Address - Street 1:10161 BOLSA AVE.
Practice Address - Street 2:#104 C
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683
Practice Address - Country:US
Practice Address - Phone:714-775-0026
Practice Address - Fax:714-775-0019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11563TPA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty