Provider Demographics
NPI:1710188784
Name:VU, QUYNH LYNN (OD)
Entity Type:Individual
Prefix:
First Name:QUYNH
Middle Name:LYNN
Last Name:VU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:LYNN
Other - Middle Name:QUYNH
Other - Last Name:VU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:3716 CANTERA LN
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-2772
Mailing Address - Country:US
Mailing Address - Phone:214-734-9791
Mailing Address - Fax:972-422-5329
Practice Address - Street 1:3213 ROBERT DR
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-3778
Practice Address - Country:US
Practice Address - Phone:214-734-9791
Practice Address - Fax:972-235-6584
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2016-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5759TG152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management