Provider Demographics
NPI:1023207529
Name:DANIEL C. NG, OD AND JULIE C. NG, OD
Entity Type:Organization
Organization Name:DANIEL C. NG, OD AND JULIE C. NG, OD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIS/PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:CHI
Authorized Official - Last Name:NG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:4153-864-4888
Mailing Address - Street 1:59 CLEMENT ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-2417
Mailing Address - Country:US
Mailing Address - Phone:415-386-4488
Mailing Address - Fax:415-386-4489
Practice Address - Street 1:59 CLEMENT ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-2417
Practice Address - Country:US
Practice Address - Phone:415-386-4488
Practice Address - Fax:415-386-4489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1002020001Medicare NSC