Provider Demographics
NPI:1972971901
Name:BRIGHT VISION OPTOMETRY
Entity Type:Organization
Organization Name:BRIGHT VISION OPTOMETRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SOONG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:626-430-8085
Mailing Address - Street 1:2935 CHINO AVE
Mailing Address - Street 2:SUITE E3
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-3575
Mailing Address - Country:US
Mailing Address - Phone:909-627-1111
Mailing Address - Fax:909-627-1112
Practice Address - Street 1:2935 CHINO AVE
Practice Address - Street 2:SUITE E3
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-3575
Practice Address - Country:US
Practice Address - Phone:909-627-1111
Practice Address - Fax:909-627-1112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-08
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14716152W00000X
CA14005152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty