Inthavong, Visaka Dianna
Inthavong, Visaka Dianna is an individual health care provider with primary practice located at 145 N Clovis Ave Ste 101 , Clovis CA 93612-0361. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Inthavong, Visaka Dianna can be contacted via phone (559) 298-2120.Contact Information
Primary practice address
145 N Clovis Ave Ste 101
Clovis CA 93612-0361
Phone: (559) 298-2120
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 35045 | California |
Profile Details
| NPI number | 1831851120 |
|---|---|
| LBN Legal business name | Inthavong, Visaka Dianna |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2021 |
| Last updated | Oct 13th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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