Provider Demographics
NPI:1245344761
Name:VUONG, MY MY (OD)
Entity type:Individual
Prefix:DR
First Name:MY
Middle Name:MY
Last Name:VUONG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:6512 N DECATUR BLVD STE 130-234
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-1046
Mailing Address - Country:US
Mailing Address - Phone:702-433-2010
Mailing Address - Fax:702-259-2010
Practice Address - Street 1:6464 N DECATUR BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-2959
Practice Address - Country:US
Practice Address - Phone:702-433-2010
Practice Address - Fax:702-259-2010
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV558152W00000X
CA13051152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist