Provider Demographics
NPI:1710274972
Name:VO, THU-THUY (OD)
Entity Type:Individual
Prefix:
First Name:THU-THUY
Middle Name:
Last Name:VO
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 1:515 SR 9
Mailing Address - Street 2:STE 104
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-8523
Mailing Address - Country:US
Mailing Address - Phone:425-334-4016
Mailing Address - Fax:425-334-4017
Practice Address - Street 1:515 SR 9 STE 104
Practice Address - Street 2:
Practice Address - City:LAKE STEVENS
Practice Address - State:WA
Practice Address - Zip Code:98258-8523
Practice Address - Country:US
Practice Address - Phone:425-334-4016
Practice Address - Fax:425-334-4017
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD60235371152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist