Provider Demographics
NPI:1053503979
Name:DANG, VIN T (OD)
Entity Type:Individual
Prefix:
First Name:VIN
Middle Name:T
Last Name:DANG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 INVERMAY ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-5745
Mailing Address - Country:US
Mailing Address - Phone:626-679-0169
Mailing Address - Fax:
Practice Address - Street 1:4101 EMPIRE DR
Practice Address - Street 2:SUITE 120
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0681
Practice Address - Country:US
Practice Address - Phone:661-325-3937
Practice Address - Fax:661-283-3937
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13298T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist