Provider Demographics
NPI:1891176731
Name:VUONG, CATHERINE (OD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:VUONG
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 1:5167 KYLE CENTER DR
Mailing Address - Street 2:STE. 103
Mailing Address - City:KYLE
Mailing Address - State:TX
Mailing Address - Zip Code:78640-6160
Mailing Address - Country:US
Mailing Address - Phone:512-268-7600
Mailing Address - Fax:
Practice Address - Street 1:5167 KYLE CENTER DR
Practice Address - Street 2:STE. 103
Practice Address - City:KYLE
Practice Address - State:TX
Practice Address - Zip Code:78640-6160
Practice Address - Country:US
Practice Address - Phone:512-268-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-16
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8643T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist