MEDICARE: LONG VAN VU OD

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	152WV0400X	Vision Therapy Optometrist	9740T	TX
2	152W00000X	Optometrist	9740T	TX

General Provider Information

NPI Number	:	1437714490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LONG VAN VU OD

Provider Business Mailing Address
First Line	:	7510 HAYWOOD DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77061-1508
Country	:	US
Telephone Number	:	832-771-0537
Fax Number	:

Provider Business Practice Location Address
First Line	:	2506 25TH AVE N STE 3
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77590-4666
Country	:	US
Telephone Number	:	409-945-5511
Fax Number	:	409-945-5385

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

Provider Enumeration Date	:	05/06/2019
Last Update Date	:	12/13/2023

Similar Medicare Providers

1700218930 — JOSE MIGUEL CORREA-DIEGUEZ O.D.
Practice Location Address:

2506 25TH AVE N STE 3
TEXAS CITY, TX
77590-4666

Practice Phone: 409-945-5511
Practice Fax: 409-945-5385

1942651104 — ANGELA DANTIN O.D.
Practice Location Address:

2506 25TH AVE N STE 3
TEXAS CITY, TX
77590-4666

Practice Phone: 409-945-5511
Practice Fax: 409-945-5511

1528039161 — DR. JEANNINE ERIKA GEORGE D.P.M.
Practice Location Address:

3450 ELLICOTT CENTER DR STE 105
ELLICOTT CITY, MD
21043-4666

Practice Phone: 301-905-2334
Practice Fax: 410-869-4149

1487898409 — JEANNINE E. GEORGE DPM PC.
Practice Location Address:

3450 ELLICOTT CENTER DR STE 105
ELLICOTT CITY, MD
21043-4666

Practice Phone: 410-203-2807
Practice Fax: 410-203-2809

1851768782 — YAZMIN RIVERA BA
Practice Location Address:

4666 LORI CHRISTINE ST
HAINES CITY, FL
33844-9037

Practice Phone: 407-655-8175
Practice Fax:

1497270185 — CORALEE GREER
Practice Location Address:

100 CABANA CAY CIR UNIT 427
PANAMA CITY BEACH, FL
32413-4666

Practice Phone: 850-691-7513
Practice Fax:

Directions to “ LONG VAN VU OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.