Provider Demographics
NPI:1568489227
Name:DUONG, TUAN QUANG
Entity Type:Individual
Prefix:
First Name:TUAN
Middle Name:QUANG
Last Name:DUONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6500 ARLINGTON BLVD STE 102C
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22042-2352
Mailing Address - Country:US
Mailing Address - Phone:703-532-1377
Mailing Address - Fax:703-532-0449
Practice Address - Street 1:6500 ARLINGTON BLVD STE 102C
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-2352
Practice Address - Country:US
Practice Address - Phone:703-532-1377
Practice Address - Fax:703-532-0449
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000259152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist