Pomona Optometry

LBN: Kt Tonnu An Optometric Corporation
Pomona Optometry is an health care organization with primary practice located at 1101 E Holt Ave Ste D, Pomona CA 91767-5800. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Kt Tonnu An Optometric Corporation can be contacted via phone (909) 620-4546, or through Tonnu, Kieutien Phan via phone (909) 620-4546.

Contact Information

Primary practice address
1101 E Holt Ave Ste D Pomona CA 91767-5800
Fax: (909) 620-4546
Website:
Authorized official contact:
Name: Tonnu, Kieutien Phan Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 10429T California

Profile Details

NPI number 1295831485
LBN Legal business name Kt Tonnu An Optometric Corporation
DBA Doing business as Pomona Optometry
Authorized official Tonnu, Kieutien Phan Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Sep 17th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295831485 NPPES
California MEDICAID SDO104290

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