Provider Demographics
NPI:1518852227
Name:LUONG, PAUL MINH DUC (OD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:MINH DUC
Last Name:LUONG
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 1:2730 GALLOWS RD APT 636
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-7483
Mailing Address - Country:US
Mailing Address - Phone:540-836-5131
Mailing Address - Fax:
Practice Address - Street 1:1340 OLD CHAIN BRIDGE RD STE 102
Practice Address - Street 2:
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3909
Practice Address - Country:US
Practice Address - Phone:703-893-2020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-11
Last Update Date:2025-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618003506152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist