MEDICARE: DR. THUY VU STRONG O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WP0200X	Pediatric Optometrist	TA-1961	MD
2	152W00000X	Optometrist	TA1961	MD

General Provider Information

NPI Number	:	1871634972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. THUY VU STRONG O.D.

Provider Business Mailing Address
First Line	:	5349 KERGER RD
Second Line	:
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043-7013
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5550 STERRETT PL STE 312
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-2628
Country	:	US
Telephone Number	:	410-715-2212
Fax Number	:	410-715-2214

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	01/15/2020

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