Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 7940TG | TX |
Y | 152W00000X | Optometrist | OD60384269 | WA |
NPI | 1003197971 |
---|---|
Provider Name | Tuong Ngoc Vo |
First Address | Tukwila, WA 98188-2810 |
Second Address | Tukwila, WA 98188-2810 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/09/2011 |
Last Update Date | 06/06/2014 |