Provider Demographics
NPI:1164035366
Name:DUONG, BELINDA (OD)
Entity Type:Individual
Prefix:DR
First Name:BELINDA
Middle Name:
Last Name:DUONG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1216 BRIDFORD PKWY STE QANDS
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-2696
Mailing Address - Country:US
Mailing Address - Phone:336-291-1504
Mailing Address - Fax:
Practice Address - Street 1:1216 BRIDFORD PKWY STE QANDS
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-2696
Practice Address - Country:US
Practice Address - Phone:336-291-1504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-26
Last Update Date:2020-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2617152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist