Provider Demographics
NPI:1982604633
Name:HOANG-BRALEY, TUONG-LINH T (OD)
Entity Type:Individual
Prefix:DR
First Name:TUONG-LINH
Middle Name:T
Last Name:HOANG-BRALEY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9600 MAIN ST
Mailing Address - Street 2:STE H
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-3798
Mailing Address - Country:US
Mailing Address - Phone:703-764-3937
Mailing Address - Fax:703-764-3986
Practice Address - Street 1:9600 MAIN ST
Practice Address - Street 2:STE H
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-3798
Practice Address - Country:US
Practice Address - Phone:703-764-3937
Practice Address - Fax:703-764-3986
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0601002019152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist