| Hang Thai Inc | |
|
5632 26th St W, Bradenton, FL 34207-3515 | |
| (941) 751-4668 | |
| (941) 751-4809 |
| Full Name | Hang Thai Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5632 26th St W, Bradenton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710379250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC4071 (Florida) | Primary |
| Provider Name | Hang Huynh Thai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508808809 PECOS PAC ID: 6305825472 Enrollment ID: I20070217000052 |
| Mailing Address | Practice Location Address |
|---|---|
| Hang Thai Inc 5632 26th St W, Bradenton, FL 34207-3515 Ph: (941) 751-4668 | Hang Thai Inc 5632 26th St W, Bradenton, FL 34207-3515 Ph: (941) 751-4668 |
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