Duong, Minh Tan

Duong, Minh Tan is an individual health care provider with primary practice located at 4721 26Th Ave , Meridian MS 39305-4703. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Duong, Minh Tan can be contacted via phone (601) 485-2020.

Contact Information

Primary practice address
4721 26Th Ave Meridian MS 39305-4703
Phone: (601) 485-2020
Fax: (601) 581-1662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 704 Mississippi

Profile Details

NPI number 1871604207
LBN Legal business name Duong, Minh Tan
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 18th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871604207 NPPES
Mississippi MEDICAID 05087873

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