PETER LAM THOAI PHUC MD INC. NPI 1376571216

NPI Information

NPI: 1376571216
Provider Name: PETER LAM THOAI PHUC, MD, INC.

Doing Business As: GREATER POMONA MEDICAL & REHAB CENTER

Classification: Optometrist - 152WL0500X
Entity Type: Organization

Specialization: Low Vision Rehabilitation

Address:
1184 E HOLT AVE
POMONA, CA
ZIP 91767
Phone: (909) 865-1946
Get Directions

PETER LAM THOAI PHUC, MD, INC. is a low vision rehabilitation optometrist in Pomona, CA. The provider is optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. PETER LAM THOAI PHUC, MD, INC. NPI is 1376571216. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Greater Pomona Medical & Rehab Center.

The provider's business location address is:

1184 E HOLT AVE
POMONA, CA
ZIP 91767-833
Phone: (909) 865-1946

The provider's authorized official is Peter (phuc) Thoai Lam .
The authorized official title is Ceo and has the following contact phone number (714) 209-8319.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152WL0500X	Optometrist	Low Vision Rehabilitation	OPT10558	CALIFORNIA	Yes
2	207QG0300X	Family Medicine	Geriatric Medicine	A88219	CALIFORNIA	X
3	225100000X	Physical Therapist		PT28250	CALIFORNIA	X

What is NPI?

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This page was last updated on: 11/14/2023

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