Provider Demographics
NPI:1255496196
Name:GUINO-O, MY D (OD)
Entity Type:Individual
Prefix:
First Name:MY
Middle Name:D
Last Name:GUINO-O
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:MY
Other - Middle Name:B
Other - Last Name:DIEP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
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:
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:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-22
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12564T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist