Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phuong Le Ai Duong, OPTOMETRISTOD

Individual provider Low Vision Rehabilitation Optometrist · NPI 1154435048

Phuong Le Ai Duong, OPTOMETRISTOD is an Optometry in San Jose, California. Graduated from Southern California College of Optometry in 2004, 22 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2006

Practice location Address checks out

1811 Hillsdale Ave
San Jose, CA 95124-3027
Phone: (408) 269-1267
Fax: (408) 269-1265
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7150 Camino Arroyo, Gilroy, CA 95020-7347 — (408) 848-1865
  • 630 Blossom Hill Rd Ste 20, San Jose, CA 95123-3056 — (408) 300-0717

Specialties & licences

Low Vision Rehabilitation Optometrist (primary) Taxonomy 152WL0500X · Licence CA 12716 T (CA)

Record details

NPI number1154435048
Entity typeIndividual (Type 1)
GenderFemale
Credentials OPTOMETRISTOD
Sole proprietorYes
NPI enumeratedAugust 18, 2006
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2004 (22 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Jose