Individual provider Active NPI

Summer Uyen Vu, O.D.

  • Optometrist
  • Friendswood, TX
National Provider Identifier
1043886005
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10185TG Issued in TX
Practice address
19210 Gulf Fwy Ste a
Friendswood, TX 77546-2705
Phone
(346) 271-6485
Fax
(346) 347-6321
NPI assigned
Jun 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10185TG TX Primary

Addresses

Primary practice location

19210 Gulf Fwy Ste a
Friendswood, TX 77546-2705

Mailing address

3506 Almond Creek Dr
Houston, TX 77059-2818
Phone (832) 790-3459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20221214002719 TX Practitioner - Optometry 4789053703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10185TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vertex Vision Optometrist CurrentSince Jul 28, 2022 Accepting new patients

Locations

19210 Gulf Fwy
#A
Friendswood, TX 77546
Phone (346) 271-6485

Organizations & group practices 1

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": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1043886005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3506 ALMOND CREEK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770592818",
            "telephone_number": "832-790-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19210 GULF FWY STE A",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775462705",
            "telephone_number": "346-271-6485",
            "fax_number": "346-347-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "SUMMER",
        "middle_name": "UYEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-01",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10185TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

Verify at the official NPI Registry.