Provider Demographics
NPI:1952454001
Name:CHU, NHU Q (OD)
Entity Type:Individual
Prefix:
First Name:NHU
Middle Name:Q
Last Name:CHU
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 1:1340 1ST ST STE F
Mailing Address - Street 2:
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020-4766
Mailing Address - Country:US
Mailing Address - Phone:408-848-6519
Mailing Address - Fax:408-848-6517
Practice Address - Street 1:1340 1ST ST STE F
Practice Address - Street 2:
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020-4766
Practice Address - Country:US
Practice Address - Phone:408-848-6519
Practice Address - Fax:408-848-6517
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11415T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADS0114150Medicaid
CAU83184Medicare UPIN
CADS0114151Medicare ID - Type Unspecified