Provider Demographics
NPI:1174992705
Name:C.SHARP OPTOMETRY
Entity type:Organization
Organization Name:C.SHARP OPTOMETRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHUONG
Authorized Official - Middle Name:
Authorized Official - Last Name:BANH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:415-572-0588
Mailing Address - Street 1:927 E ARQUES AVE
Mailing Address - Street 2:181
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94085-4521
Mailing Address - Country:US
Mailing Address - Phone:408-749-1530
Mailing Address - Fax:408-749-1532
Practice Address - Street 1:927 E ARQUES AVE
Practice Address - Street 2:181
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94085-4521
Practice Address - Country:US
Practice Address - Phone:408-749-1530
Practice Address - Fax:408-749-1532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-24
Last Update Date:2015-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13436152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty