Provider Demographics
NPI:1518901016
Name:HONG, LINN NGOC (OD)
Entity Type:Individual
Prefix:DR
First Name:LINN
Middle Name:NGOC
Last Name:HONG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2063 CAMDEN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-2024
Mailing Address - Country:US
Mailing Address - Phone:408-377-1479
Mailing Address - Fax:408-377-3647
Practice Address - Street 1:2063 CAMDEN AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-2024
Practice Address - Country:US
Practice Address - Phone:408-377-1479
Practice Address - Fax:408-377-3647
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12399T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist