Individual provider Active NPI

Minh Vu, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1013449305
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008554 Issued in NY
Practice address
2249 2ND Ave # 3
New York, NY 10029
Phone
(212) 201-1201
NPI assigned
Mar 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV008554 NY Primary

Addresses

Primary practice location

2249 2ND Ave # 3
New York, NY 10029

Mailing address

PO Box 150617
Brooklyn, NY 11215-0617
Phone (122) 011-2012

Other identifiers 1

IdentifierTypeStateIssuer
TUV008554OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20171002002041 NY Practitioner - Optometry 5799050738 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008554NYMDPsychologist
TUV008554NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Center, Inc Optometrist CurrentSince Feb 1, 2021 Accepting new patients
Orama Optometry New York PLLC Optometrist CurrentSince Nov 1, 2025 Accepting new patients
East Harlem Eye Care, LLC Optometrist Past Accepting new patients

Locations

340 9th St
Ste A
Brooklyn, NY 11215
Phone (347) 222-7435

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1013449305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150617",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112150617",
            "telephone_number": "122-011-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2249 2ND AVE # 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-201-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "MINH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "TUV008554",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.