Provider Demographics
NPI:1750472254
Name:VO, AMY L (OD)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:VO
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:9520 GARDEN GROVE BLVD
Mailing Address - Street 2:STE 5
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92844-1528
Mailing Address - Country:US
Mailing Address - Phone:714-530-2557
Mailing Address - Fax:714-530-4273
Practice Address - Street 1:9520 GARDEN GROVE BLVD
Practice Address - Street 2:STE 5
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92844-1528
Practice Address - Country:US
Practice Address - Phone:714-530-2557
Practice Address - Fax:714-530-4273
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2020-02-25
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Provider Licenses
StateLicense IDTaxonomies
CA13237T152W00000X
NYTUV006898152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNY0689Medicare UPIN