Provider Demographics
NPI:1568575264
Name:TONY D. VU, O.D., INC
Entity Type:Organization
Organization Name:TONY D. VU, O.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:DUY
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:714-963-8349
Mailing Address - Street 1:18430 BROOKHURST ST STE 100
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-6726
Mailing Address - Country:US
Mailing Address - Phone:714-968-9121
Mailing Address - Fax:714-962-6521
Practice Address - Street 1:18430 BROOKHURST ST STE 100
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-6726
Practice Address - Country:US
Practice Address - Phone:714-968-9121
Practice Address - Fax:714-962-6521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-16
Last Update Date:2018-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11285TPL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty