Provider Demographics
NPI:1205841681
Name:DO, MY THUAN LUONG (OD)
Entity type:Individual
Prefix:MS
First Name:MY THUAN
Middle Name:LUONG
Last Name:DO
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:3916 E FRANKLIN BLVD STE 160
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28056-9220
Mailing Address - Country:US
Mailing Address - Phone:704-565-0660
Mailing Address - Fax:704-824-2192
Practice Address - Street 1:3916 E FRANKLIN BLVD STE 160
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28056-9220
Practice Address - Country:US
Practice Address - Phone:704-340-3170
Practice Address - Fax:704-824-2192
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2024-10-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC1948152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist