Individual
THUYVAN VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3111 MAPLEWOOD AVE, WINSTON SALEM, NC 27103-3906
(336) 765-8130
Mailing address
411 HARVEST PINE RD, LEWISVILLE, NC 27023-9696
(832) 651-1900
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2330
NC
152WC0802X
Corneal and Contact Management Optometrist
2330
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2330
LICENSE
NC
Enumeration date
10/29/2013
Last updated
12/19/2024
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