Provider Demographics
NPI:1275687907
Name:VU, MAN TRI (OD)
Entity Type:Individual
Prefix:DR
First Name:MAN
Middle Name:TRI
Last Name:VU
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:303 E CHELTENHAM AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-1602
Mailing Address - Country:US
Mailing Address - Phone:215-830-9787
Mailing Address - Fax:215-830-9783
Practice Address - Street 1:632 YORK RD
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-2002
Practice Address - Country:US
Practice Address - Phone:215-830-9787
Practice Address - Fax:215-830-9783
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOEG001215152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WP0200XEye and Vision Services ProvidersOptometristPediatrics