Healthcare Provider Details

I. General information

NPI: 1306665062
Provider Name (Legal Business Name): LIEN VU OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2024
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 N VELASCO ST
ANGLETON TX
77515-3015
US

IV. Provider business mailing address

8614 WESTWOOD CENTER DR FL 9
VIENNA VA
22182-2442
US

V. Phone/Fax

Practice location:
  • Phone: 979-310-5592
  • Fax: 979-661-8830
Mailing address:
  • Phone: 703-847-8899
  • Fax: 571-223-6780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number11181
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: