Individual provider Active NPI

Tuong Ngoc Vo, O.D.

  • Optometrist
  • Tukwila, WA
National Provider Identifier
1003197971
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60384269 Issued in WA
Practice address
301 Southcenter Mall
Tukwila, WA 98188-2810
Phone
(206) 243-2322
Fax
(206) 209-0002
NPI assigned
Sep 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7940TG TX
Optometrist 152W00000X OD60384269 WA Primary

Addresses

Primary practice location

301 Southcenter Mall
Tukwila, WA 98188-2810

Mailing address

301 Southcenter Mall
Tukwila, WA 98188-2810
Phone (206) 243-2322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140916000659 WA Practitioner - Optometry 0749439545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgeport Family Vision Clinic PLLCGroup PAC ID 6901113596, 3 clinicians

Practice addresses (Care Compare)

9101 Bridgeport Way SW
Suite C
Lakewood, WA 98499-2419
Phone (253) 584-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7940TGTXMDOptometrist
OD60384269WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeport Family Vision Clinic, PLLC Optometrist CurrentSince Jul 28, 2025 Accepting new patients
David Thomas Williams Optometrist PastSince Jul 28, 2025 Accepting new patients

Locations

9101 Bridgeport Way SW
Ste C
Tacoma, WA 98499
Phone (253) 584-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1003197971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SOUTHCENTER MALL",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882810",
            "telephone_number": "206-243-2322",
            "fax_number": "206-209-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SOUTHCENTER MALL",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882810",
            "telephone_number": "206-243-2322",
            "fax_number": "206-209-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "TUONG",
        "middle_name": "NGOC",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-06",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7940TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60384269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

Verify at the official NPI Registry.