Provider Demographics
NPI:1174593784
Name:OPTOMETRY-VISION WITH STYLES, INC
Entity type:Organization
Organization Name:OPTOMETRY-VISION WITH STYLES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANHDAO
Authorized Official - Middle Name:THI
Authorized Official - Last Name:HO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:619-806-1194
Mailing Address - Street 1:4892 ROYAL ISLAND WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92154-8500
Mailing Address - Country:US
Mailing Address - Phone:619-806-1194
Mailing Address - Fax:619-544-2184
Practice Address - Street 1:2260 CALLAGAN HWY
Practice Address - Street 2:BUILDING 3187B STE 1
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92136
Practice Address - Country:US
Practice Address - Phone:619-806-1194
Practice Address - Fax:619-544-2184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT 11062T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty