Individual provider Active NPI

Cuc Bui, O.D.

  • Optometrist
  • Colleyville, TX
National Provider Identifier
1093893422
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6128TG Issued in TX
Practice address
5307 Colleyville Blvd Ste 100
Colleyville, TX 76034-5832
Phone
(817) 485-3300
NPI assigned
Nov 2, 2006
Last updated
Jul 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6128TG TX Primary

Addresses

Primary practice location

5307 Colleyville Blvd Ste 100
Colleyville, TX 76034-5832

Mailing address

5307 Colleyville Blvd Ste 100
Colleyville, TX 76034-5832

Other names 1

  • Cuc Bui Pham Other name

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
I20070220000377 TX Practitioner - Optometry 3173525821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colleyville Eye CorporationGroup PAC ID 5294817185, 2 clinicians

Practice addresses (Care Compare)

5307 Colleyville Blvd
Suite 100
Colleyville, TX 76034-5819
Phone (817) 485-3300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6128TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Colleyville Eye Corporation Optometrist CurrentSince Nov 15, 2007 Accepting new patients

Locations

5307 Colleyville Blvd
Ste 100
Colleyville, TX 76034
Phone (817) 485-3300

5615 Colleyville Blvd
Ste 460
Colleyville, TX 76034
Phone (817) 485-3300

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, 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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1093893422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 COLLEYVILLE BLVD STE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5307 COLLEYVILLE BLVD STE 100",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345832",
            "telephone_number": "817-485-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "CUC",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6128TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CUC",
            "last_name": "PHAM",
            "middle_name": "BUI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colleyville, TX

Sources for this page

Verify at the official NPI Registry.