Provider Demographics
NPI:1144795253
Name:PIER VISION OPTOMETRY
Entity type:Organization
Organization Name:PIER VISION OPTOMETRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:QUYEN
Authorized Official - Last Name:THAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:619-313-2089
Mailing Address - Street 1:NAVY AIR STATION NORTH ISLAND BUILDING 2017
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92135-1202
Mailing Address - Country:US
Mailing Address - Phone:619-313-2089
Mailing Address - Fax:619-313-2089
Practice Address - Street 1:NAVY AIR STATION NORTH ISLAND
Practice Address - Street 2:BUILDING 2017
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92135-1202
Practice Address - Country:US
Practice Address - Phone:619-313-2089
Practice Address - Fax:619-313-2089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-05
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty