Provider Demographics
NPI:1609361153
Name:LUU, BRANDON (OD)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:
Last Name:LUU
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 1:18382 NICKLAUS RD
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-7051
Mailing Address - Country:US
Mailing Address - Phone:714-747-4665
Mailing Address - Fax:
Practice Address - Street 1:9351 BOLSA AVE
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-5928
Practice Address - Country:US
Practice Address - Phone:714-494-1333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-27
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33951TLG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist