Provider Demographics
NPI:1972986065
Name:VO, NGHIA (OD)
Entity type:Individual
Prefix:
First Name:NGHIA
Middle Name:
Last Name:VO
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 1:7527 REX HILL TRL
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-8768
Mailing Address - Country:US
Mailing Address - Phone:407-925-3320
Mailing Address - Fax:
Practice Address - Street 1:1800 PEMBROOK DR
Practice Address - Street 2:SUITE # 120
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-6928
Practice Address - Country:US
Practice Address - Phone:407-865-7700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5091152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist