NPI 1467800664

Pham-Vang Optometry LLC

Organisation Health Maintenance Organization Brooklyn Center, MN

Practice location

Address: 7074 Brooklyn Blvd, Brooklyn Center, MN 55429-1370
Phone: (763) 639-0103

Authorised official

Name: Sandy Pham-Vang
Title: Ceo
Phone: (763) 316-4193

Registered specialties (2)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 3056 (MN)

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Durable Medical Equipment & Medical Supplies

Suppliers Taxonomy 332B00000X Licence 3056 (MN)

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Registry record

NPI: 1467800664
Entity type: Organization
NPI issued: 27 May 2016
Record last updated: 27 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.