Provider Demographics
NPI:1568027449
Name:BETTER IMAGE OPTOMETRY INC
Entity Type:Organization
Organization Name:BETTER IMAGE OPTOMETRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PHUONG
Authorized Official - Middle Name:LE AI
Authorized Official - Last Name:DUONG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:408-318-3360
Mailing Address - Street 1:2166 PASEO DEL ORO
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-2046
Mailing Address - Country:US
Mailing Address - Phone:408-318-3360
Mailing Address - Fax:
Practice Address - Street 1:1811 HILLSDALE AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-3027
Practice Address - Country:US
Practice Address - Phone:408-269-1267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-06
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty