Provider Demographics
NPI:1093482143
Name:DANNY DUY VU, OD, INC.
Entity Type:Organization
Organization Name:DANNY DUY VU, OD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:DUY
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:909-559-8977
Mailing Address - Street 1:1469 WEDGEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-2516
Mailing Address - Country:US
Mailing Address - Phone:909-559-8977
Mailing Address - Fax:
Practice Address - Street 1:1540 W FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-3653
Practice Address - Country:US
Practice Address - Phone:909-981-7634
Practice Address - Fax:909-985-7497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty