Provider Demographics
NPI:1861539199
Name:TO, TO-QUYEN H (OD)
Entity type:Individual
Prefix:DR
First Name:TO-QUYEN
Middle Name:H
Last Name:TO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16120 MONTEREY ST
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:408-778-3550
Practice Address - Street 1:16120 MONTEREY ST
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:408-778-3550
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10984T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist