Provider Demographics
NPI:1851478697
Name:KHUU, NANCY (OD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:KHUU
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 1:4848 SAN FELIPE RD STE 140
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95135-1273
Mailing Address - Country:US
Mailing Address - Phone:408-238-6661
Mailing Address - Fax:408-238-1161
Practice Address - Street 1:4848 SAN FELIPE RD STE 140
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95135-1273
Practice Address - Country:US
Practice Address - Phone:408-238-6661
Practice Address - Fax:408-238-1161
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10898T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0108980Medicare ID - Type Unspecified
CAU80304Medicare UPIN