Individual provider Active NPI

Alice T. Vu, O.D.

  • Optometrist
  • Milpitas, CA
National Provider Identifier
1093839912
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12157-T Issued in CA
Practice address
1553 Landess Ave
Milpitas, CA 95035-6901
Phone
(408) 945-0200
Fax
(408) 945-4200
NPI assigned
Mar 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12157-T CA Primary

Addresses

Primary practice location

1553 Landess Ave
Milpitas, CA 95035-6901

Mailing address

1553 Landess Ave
Milpitas, CA 95035-6901
Phone (408) 945-0200

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
I20100727000713 CA Practitioner - Optometry 4486787553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12157-TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
VP Optometric, Inc. PastSince Jun 1, 2010 Accepting new patients

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": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1093839912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 LANDESS AVE",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356901",
            "telephone_number": "408-945-0200",
            "fax_number": "408-945-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 LANDESS AVE",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356901",
            "telephone_number": "408-945-0200",
            "fax_number": "408-945-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "ALICE",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-17",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12157-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

Verify at the official NPI Registry.