Provider Demographics
NPI:1588616973
Name:VU, LAURIE (OD)
Entity Type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:
Last Name:VU
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 1:3210 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-2340
Mailing Address - Country:US
Mailing Address - Phone:212-665-5051
Mailing Address - Fax:212-222-2083
Practice Address - Street 1:3210 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-2304
Practice Address - Country:US
Practice Address - Phone:212-665-5051
Practice Address - Fax:212-665-5052
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2017-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV005878152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist