Provider Demographics
NPI:1952569535
Name:TO-QUYENTO, O.D., INC
Entity Type:Organization
Organization Name:TO-QUYENTO, O.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TO-QUYEN
Authorized Official - Middle Name:HOANG
Authorized Official - Last Name:TO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:408-779-3793
Mailing Address - Street 1:16120 MONTEREY RD
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-5404
Mailing Address - Country:US
Mailing Address - Phone:408-779-3793
Mailing Address - Fax:408-778-0550
Practice Address - Street 1:16120 MONTEREY RD
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-5404
Practice Address - Country:US
Practice Address - Phone:408-779-3793
Practice Address - Fax:408-778-0550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10984T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty