Provider Demographics
NPI:1811956048
Name:LUU, THERESA MINH-NGOC (OD)
Entity type:Individual
Prefix:DR
First Name:THERESA
Middle Name:MINH-NGOC
Last Name:LUU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:730 STORY RD
Mailing Address - Street 2:SUITE #8
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95122-2624
Mailing Address - Country:US
Mailing Address - Phone:408-292-2020
Mailing Address - Fax:408-292-2168
Practice Address - Street 1:730 STORY RD
Practice Address - Street 2:SUITE #8
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95122-2624
Practice Address - Country:US
Practice Address - Phone:408-292-2020
Practice Address - Fax:408-292-2168
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10855T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist