Organization Active NPI

Danny Duy Vu, OD, Inc.

  • Optometrist
  • Upland, CA
National Provider Identifier
1093482143
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DANNY DUY VU, OD, INC.
Practice address
1540 W Foothill Blvd
Upland, CA 91786-3653
Phone
(909) 981-7634
Fax
(909) 985-7497
NPI assigned
Aug 26, 2021
Last updated
Aug 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Dr. Danny Duy Vu, ODNPI 1285755280
Title
Owner
Phone
(909) 559-8977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1540 W Foothill Blvd
Upland, CA 91786-3653

Mailing address

1469 Wedgewood Ave
Upland, CA 91786-2516
Phone (909) 559-8977

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL UPLAND Health Information Exchange (HIE)
CONNECT URL UPLAND Direct
CONNECT URL UPLAND Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240202002515 CA Part B Supplier - Clinic/Group Practice 6406299791 Receives reassigned benefits from 1 practitioner
Practice locations: Upland, CA

National Provider Directory

National Provider Directory
Tax ID family
Danny Duy Vu OD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1093482143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 WEDGEWOOD AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917862516",
            "telephone_number": "909-559-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 W FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863653",
            "telephone_number": "909-981-7634",
            "fax_number": "909-985-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANNY DUY VU, OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-07",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "DUY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-559-8977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "UPLAND",
            "affiliation": "N",
            "endpointDescription": "info.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1540 W Foothill Blvd",
            "city": "Upland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917863653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "UPLAND",
            "affiliation": "N",
            "endpointDescription": "info",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1540 W Foothill Blvd",
            "city": "Upland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917863653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "UPLAND",
            "affiliation": "N",
            "endpointDescription": "info.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1540 W Foothill Blvd",
            "city": "Upland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917863653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.