Dr. Peter Tien Dzung Pham
Optometrist
8300 Sudley Rd Ste I-6
Manassas
, Virginia 20109-3458
Dr. Peter Tien Dzung Pham
Optometrist
8300 Sudley Rd Ste I-6
Manassas
, Virginia 20109-3458
(850) 384-1554
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Peter Tien Dzung Pham
- 11936 Jade Lake Ln
- Bristow, VA
- Zip : 20136-2231
- Phone : (850) 384-1554
Second Address
- Dr. Peter Tien Dzung Pham
- 8300 Sudley Rd Ste I-6
- Manassas, VA
- Zip : 20109-3458
- Phone : (850) 384-1554
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Is Dr. Peter Tien Dzung Pham a sole practitioner?
Is Dr. Peter Tien Dzung Pham accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0618002204 | VA |
National Provider Identifier
| NPI | 1003155946 |
|---|---|
| Provider Name | Dr. Peter Tien Dzung Pham |
| First Address | Bristow, VA 20136-2231 |
| Second Address | Manassas, VA 20109-3458 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/02/2013 |
| Last Update Date | 19/04/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.