Wildomar Eye Care

LBN: Tan D. Vu Od, Inc
Wildomar Eye Care is an health care organization with primary practice located at 34859 Fredrick Street Suite 109, Wildomar CA 92595-2595. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Tan D. Vu Od, Inc can be contacted via phone (951) 678-7690, or through Vu, Tan Duy via phone (951) 678-7690.

Contact Information

Primary practice address
34859 Fredrick Street Suite 109 Wildomar CA 92595-2595
Phone: (951) 678-7690
Fax: (951) 837-4816
Website:
Map and Directions
Authorized official contact:
Name: Vu, Tan Duy Doctor of Optometry (OD)
Phone: (951) 678-7690

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 12670T California

Profile Details

NPI number 1245457852
LBN Legal business name Tan D. Vu Od, Inc
DBA Doing business as Wildomar Eye Care
Authorized official Vu, Tan Duy Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2007
Last updated Jul 8th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245457852 NPPES
California MEDICAID SD0126700

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