Individual provider · Type 1 NPI

Tina Khieu, OD

Optometrist · San Diego, CA

NPI number 1962031617 Active

Practice location

5680 Balboa Ave
San Diego, CA 92111-2706

Fax (858) 278-2834

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Optometrist Primary	152W00000X	34777 (CA)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1962031617

Tina Khieu, OD's National Provider Identifier is 1962031617, issued on Apr 5, 2020. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in San Diego, CA. The record was last updated on Sep 3, 2026.