Individual provider Active NPI

Vin T Dang, O.D.

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1053503979
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13298T Issued in CA
Practice address
4101 Empire Dr
Suite 120
Bakersfield, CA 93309-0681
Phone
(661) 325-3937
Fax
(661) 283-3937
NPI assigned
Aug 14, 2007
Last updated
Jan 17, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13298T CA Primary

Addresses

Primary practice location

4101 Empire Dr
Suite 120
Bakersfield, CA 93309-0681

Mailing address

1100 Invermay St
Bakersfield, CA 93312-5745
Phone (626) 679-0169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070928000702 CA Practitioner - Optometry 9537254990 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empire Eye and Laser Center IncGroup PAC ID 1456392786, 7 clinicians

Practice addresses (Care Compare)

4105 Empire Dr
Bakersfield, CA 93309-0637
Phone (661) 325-3937

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13298TCAMDOptometrist
13298CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Eyecare Inc Optometrist CurrentSince Jun 11, 2024 Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Bipin D. Patel, M.D., Inc. PastSince Sep 1, 2016 Accepting new patients

Locations

1721 Westwind Dr
#B
Bakersfield, CA 93301
Phone (661) 215-1006

Organizations & group practices 4

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358380800000",
    "number": "1053503979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 INVERMAY ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933125745",
            "telephone_number": "626-679-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 EMPIRE DR",
            "address_2": "SUITE 120",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090681",
            "telephone_number": "661-325-3937",
            "fax_number": "661-283-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "VIN",
        "middle_name": "T",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2013-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13298T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.