Provider Demographics
NPI:1396968079
Name:VINH, BETTY THAO (OD)
Entity type:Individual
Prefix:DR
First Name:BETTY
Middle Name:THAO
Last Name:VINH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:BETTY
Other - Middle Name:THAO
Other - Last Name:BECKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:16303 CRETIAN POINT CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6824
Mailing Address - Country:US
Mailing Address - Phone:281-225-9334
Mailing Address - Fax:281-225-9335
Practice Address - Street 1:8403 LOUETTA RD # 100
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-6737
Practice Address - Country:US
Practice Address - Phone:832-717-7140
Practice Address - Fax:832-717-7142
Is Sole Proprietor?:No
Enumeration Date:2007-04-11
Last Update Date:2013-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4889TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81026QOtherBCBS
TXU97447Medicare UPIN
TX81026QOtherBCBS