Provider Demographics
NPI:1306042445
Name:KHANH-LINH V DANG OD PROF CORP
Entity Type:Organization
Organization Name:KHANH-LINH V DANG OD PROF CORP
Other - Org Name:GOLDEN DUBLIN OPTOMETRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KHANH-LINH
Authorized Official - Middle Name:VO
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:925-828-2002
Mailing Address - Street 1:4288 DUBLIN BLVD
Mailing Address - Street 2:UNIT #114
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-3172
Mailing Address - Country:US
Mailing Address - Phone:925-828-2002
Mailing Address - Fax:925-828-8839
Practice Address - Street 1:4288 DUBLIN BLVD
Practice Address - Street 2:UNIT #114
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-3172
Practice Address - Country:US
Practice Address - Phone:925-828-2002
Practice Address - Fax:925-828-8839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-25
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11231152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty