Provider Demographics
NPI:1164451290
Name:VU, CHRISTINA (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:
Last Name:VU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 BUCKLAND HILLS DR
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06042-8700
Mailing Address - Country:US
Mailing Address - Phone:860-644-7541
Mailing Address - Fax:860-648-2102
Practice Address - Street 1:190 BUCKLAND HILLS DR
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06042-8700
Practice Address - Country:US
Practice Address - Phone:860-644-7541
Practice Address - Fax:860-648-2102
Is Sole Proprietor?:No
Enumeration Date:2006-07-01
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18003411A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN01171OtherSPECTERA
ININ83411OtherVISION BENEFITS OF AMERIC
INDB3916OtherRAILROAD MEDICARE GROUP
IN200380990Medicaid
IN000000488802OtherBLUE CROSS
IN2550910001OtherDMERC MEDICARE
ININ83411OtherVISION BENEFITS OF AMERIC
INV09580Medicare UPIN