Individual provider Active NPI

Vivian Vuong, OD

  • Optometrist
  • Sterling, VA
National Provider Identifier
1063075422
Registry record updated Oct 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002777 Issued in VA
Practice address
20789 Great Falls PLZ Ste 108
Sterling, VA 20165-2483
Phone
(571) 375-7950
NPI assigned
Apr 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002777 VA Primary

Addresses

Primary practice location

20789 Great Falls PLZ Ste 108
Sterling, VA 20165-2483

Mailing address

20789 Great Falls PLZ Ste 108
Sterling, VA 20165-2483

Other practice location 1

150 S Huntington Ave
Boston, MA 02130-4817
Phone (617) 232-9500

Other practice location 2

420 Madison Trade Plz SE
Leesburg, VA 20175-3761
Phone (703) 340-8382

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210226000305 DC Practitioner - Optometry 4789099607 Reassigns benefits to 1 organization
I20210309000860 VA Practitioner - Optometry 4789099607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Vision Family Eye Clinic LLC Optometrist PastSince Jan 22, 2023 Accepting new patients
New Era Eyecare, LLC Optometrist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603497600000",
    "number": "1063075422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20789 GREAT FALLS PLZ STE 108",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201652483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20789 GREAT FALLS PLZ STE 108",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201652483",
            "telephone_number": "571-375-7950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 S Huntington Ave",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021304817",
            "country_code": "US",
            "telephone_number": "617-232-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 Madison Trade Plz SE",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201753761",
            "country_code": "US",
            "telephone_number": "703-340-8382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUONG",
        "first_name": "VIVIAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-20",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.