Provider Demographics
NPI:1730465147
Name:VAN VO, O.D., PLLC
Entity Type:Organization
Organization Name:VAN VO, O.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-378-0871
Mailing Address - Street 1:PO BOX 851052
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75085-1052
Mailing Address - Country:US
Mailing Address - Phone:972-378-0871
Mailing Address - Fax:972-378-7918
Practice Address - Street 1:2200 DALLAS PKWY
Practice Address - Street 2:SUITE 330
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-4300
Practice Address - Country:US
Practice Address - Phone:972-378-0871
Practice Address - Fax:972-378-7918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-30
Last Update Date:2011-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7751TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty