Individual
OANH HUYNH LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
420 W SMITH ST STE 105, KENT, WA 98032-4447
(253) 867-1616
(253) 867-1618
Mailing address
17818 SE 136TH ST, RENTON, WA 98059-7135
(917) 587-4914
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3011
TN
152W00000X
Optometrist
Primary
61109395
WA
152W00000X
Optometrist
OPT002669
GA
Other
Enumeration date
11/28/2011
Last updated
07/11/2023
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