Provider Demographics
NPI:1285755280
Name:VU, DANNY DUY (OD)
Entity type:Individual
Prefix:DR
First Name:DANNY
Middle Name:DUY
Last Name:VU
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:DANNY
Other - Middle Name:DUY
Other - Last Name:VU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:1528 HIGHPOINT ST
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91784-8613
Mailing Address - Country:US
Mailing Address - Phone:909-559-8977
Mailing Address - Fax:
Practice Address - Street 1:1540 W FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-3653
Practice Address - Country:US
Practice Address - Phone:909-981-7634
Practice Address - Fax:909-985-7497
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11443152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist