NPI 1053841478

Queen Lucky Thach, OD

Practitioner Optometrist El Cajon, CA

Practice location

Address: 2907 Jamacha Rd STE a, El Cajon, CA 92019-4342
Phone: (619) 660-0272
Fax: (619) 660-0310
Mailing address: 7419 Caminito Carlotta, San Diego, CA 92120-2216

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT33685-TLG (CA)

Other Optometrist providers in California →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence TUV009101-01 (NY)

Registry record

NPI: 1053841478
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jun 2017
Record last updated: 15 Apr 2021

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.