Provider Demographics
NPI:1700227972
Name:TUAN Q. DUONG O.D., P.C.
Entity Type:Organization
Organization Name:TUAN Q. DUONG O.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TUAN
Authorized Official - Middle Name:QUANG
Authorized Official - Last Name:DUONG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:703-795-1619
Mailing Address - Street 1:6500 ARLINGTON BLVD
Mailing Address - Street 2:SUITE 102C
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
Practice Address - Street 2:SUITE 102C
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-16
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000259152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0618000259OtherBOARD OF OPTOMETRY
VA009232524Medicaid
295070Medicare PIN