Provider Demographics
NPI:1033686100
Name:MY GUINO-O, O.D., INC.
Entity Type:Organization
Organization Name:MY GUINO-O, O.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MY
Authorized Official - Middle Name:DIEP
Authorized Official - Last Name:GUINO-O
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:408-729-1000
Mailing Address - Street 1:2009 TULLY RD
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-1801
Mailing Address - Country:US
Mailing Address - Phone:408-729-1000
Mailing Address - Fax:408-729-1010
Practice Address - Street 1:2009 TULLY RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-1801
Practice Address - Country:US
Practice Address - Phone:408-729-1000
Practice Address - Fax:408-729-1010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-26
Last Update Date:2018-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty