Individual provider Active NPI

Joseph Khang Vu, OD

  • Optometrist
  • Bedford, TX
National Provider Identifier
1083179600
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9629 Issued in TX
Practice address
4101 Highway 121 Ste 100
Bedford, TX 76021-3053
Phone
(817) 494-3049
Fax
(817) 725-7030
NPI assigned
Feb 7, 2019
Reactivated
Jan 13, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9629 TX Primary

Addresses

Primary practice location

4101 Highway 121 Ste 100
Bedford, TX 76021-3053

Mailing address

4101 Highway 121 Ste 100
Bedford, TX 76021-3053
Phone (817) 494-3049

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
I20191202002178 TX Practitioner - Optometry 8527491745 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9629TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Vericare Vision PLLC Optometrist CurrentSince Oct 14, 2019 Accepting new patients
Provectus Family Eyecare PLLC Optometrist CurrentSince Jan 7, 2025 Accepting new patients

Locations

4101 Highway 121
Ste 100
Bedford, TX 76021
Phone (817) 494-3049

1251 Pin Oak Rd
Ste 128
Katy, TX 77494
Phone (281) 665-3521

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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772236800000",
    "number": "1083179600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 HIGHWAY 121 STE 100",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760213053",
            "telephone_number": "817-494-3049",
            "fax_number": "817-725-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 HIGHWAY 121 STE 100",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760213053",
            "telephone_number": "817-494-3049",
            "fax_number": "817-725-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "JOSEPH",
        "middle_name": "KHANG",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-07",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "deactivation_date": "2025-01-07",
        "reactivation_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.