Provider Demographics
NPI:1295049658
Name:VU, YEN-LINH THI (OD)
Entity type:Individual
Prefix:
First Name:YEN-LINH
Middle Name:THI
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 1:555 KNOWLES DR
Mailing Address - Street 2:STE 117
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1542
Mailing Address - Country:US
Mailing Address - Phone:408-940-3930
Mailing Address - Fax:
Practice Address - Street 1:555 KNOWLES DR
Practice Address - Street 2:STE 117
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1542
Practice Address - Country:US
Practice Address - Phone:408-940-3930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-27
Last Update Date:2018-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13965152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist