Provider Demographics
NPI:1366824443
Name:NG ZHAO, PINTO FRANCO (OD)
Entity Type:Individual
Prefix:DR
First Name:PINTO
Middle Name:FRANCO
Last Name:NG ZHAO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:PINTO
Other - Middle Name:FRANCO
Other - Last Name:NG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:10678 CLIFF LAKE ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89179-1416
Mailing Address - Country:US
Mailing Address - Phone:702-888-0018
Mailing Address - Fax:
Practice Address - Street 1:13625 ADRIAN ST
Practice Address - Street 2:
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-3969
Practice Address - Country:US
Practice Address - Phone:858-883-5588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-24
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2012152W00000X
NV883152W00000X
CAT35076152WC0802X, 152WL0500X, 152WP0200X, 152WS0006X, 152WV0400X, 152WX0102X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WS0006XEye and Vision Services ProvidersOptometristSports Vision
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
No152WX0102XEye and Vision Services ProvidersOptometristOccupational Vision