Provider Demographics
NPI:1396032850
Name:VO, VAN (OD)
Entity Type:Individual
Prefix:DR
First Name:VAN
Middle Name:
Last Name:VO
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 1:8315 PRESTON RD
Mailing Address - Street 2:SUITE 200-D
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-1052
Mailing Address - Country:US
Mailing Address - Phone:972-378-0871
Mailing Address - Fax:
Practice Address - Street 1:8315 PRESTON RD.
Practice Address - Street 2:SUITE 200-D
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024
Practice Address - Country:US
Practice Address - Phone:972-378-0871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7751TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist