Provider Demographics
NPI:1528154002
Name:LOU, OLIVER KUANG-YEN (OD)
Entity type:Individual
Prefix:DR
First Name:OLIVER
Middle Name:KUANG-YEN
Last Name:LOU
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2051 CYPRESS CREEK RD
Mailing Address - Street 2:STE M
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-3624
Mailing Address - Country:US
Mailing Address - Phone:512-250-1700
Mailing Address - Fax:512-250-1769
Practice Address - Street 1:2051 CYPRESS CREEK RD
Practice Address - Street 2:STE M
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-3624
Practice Address - Country:US
Practice Address - Phone:512-250-1700
Practice Address - Fax:512-250-1769
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6085TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80705QOtherBLUE CROSS BLUE SHIELD TX
TXU86514Medicare ID - Type Unspecified