Provider Demographics
NPI:1376978510
Name:BUI, TUAN (OD)
Entity Type:Individual
Prefix:
First Name:TUAN
Middle Name:
Last Name:BUI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15206 W 119TH ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-5604
Mailing Address - Country:US
Mailing Address - Phone:913-942-0155
Mailing Address - Fax:
Practice Address - Street 1:8560 CHURCH RD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64157
Practice Address - Country:US
Practice Address - Phone:816-479-4559
Practice Address - Fax:816-407-9451
Is Sole Proprietor?:No
Enumeration Date:2013-09-06
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013033223152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist