Vision Faire Optometry PC

NPI #1730900218 in Modesto, California

Provider Information

NPI Number: 1730900218
Entity Type: Organization
Organization Name: Vision Faire Optometry PC
Primary Specialty: Optometrist
Enumeration Date: Oct 18, 2024
Last Updated: Oct 18, 2024

Practice Location

Address: 4213 DALE RD STE A-2
City: Modesto
State: California
ZIP Code: 95356-8505
Phone: (209) 545-3937

Authorized Official

Name: ORATHAY THONGSAMOUTH, OD
Title: PRESIDENT
Phone: (209) 545-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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