Provider Demographics
NPI:1942752365
Name:VU, KIM (OD)
Entity Type:Individual
Prefix:
First Name:KIM
Middle Name:
Last Name:VU
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 1:2401 N SHEPHERD DR STE A-110
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1957
Mailing Address - Country:US
Mailing Address - Phone:832-930-7809
Mailing Address - Fax:
Practice Address - Street 1:2401 N SHEPHERD DR STE A-110
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1957
Practice Address - Country:US
Practice Address - Phone:832-930-7809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-02
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8896-TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist