Provider Demographics
NPI:1508217084
Name:LUY, TONY (OD)
Entity Type:Individual
Prefix:DR
First Name:TONY
Middle Name:
Last Name:LUY
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 1:411 E HUNTINGTON DR
Mailing Address - Street 2:#117
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3731
Mailing Address - Country:US
Mailing Address - Phone:626-203-9658
Mailing Address - Fax:
Practice Address - Street 1:411 E HUNTINGTON DR
Practice Address - Street 2:#117
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3731
Practice Address - Country:US
Practice Address - Phone:626-462-0023
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33405152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist