Individual provider Active NPI

Duy Vy, O.D.

  • Optometrist
  • Orlando, FL
National Provider Identifier
1104952993
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3386 Issued in FL
Practice address
2933 E Colonial Dr
Orlando, FL 32803-5041
Phone
(407) 894-5441
Fax
(407) 894-1282
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC3386 FL Primary

Addresses

Primary practice location

2933 E Colonial Dr
Orlando, FL 32803-5041

Mailing address

2933 E Colonial Dr
Orlando, FL 32803-5041
Phone (407) 894-5441

Other identifiers 1

IdentifierTypeStateIssuer
620743000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100707000232 FL Practitioner - Optometry 0446381537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2933 E Colonial Dr
Orlando, FL 32803-5041
Phone (407) 894-5441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Duy Vy OD PA Optometrist CurrentSince Apr 10, 2010 Accepting new patients

Locations

2933 E Colonial Dr
Orlando, FL 32803
Phone (407) 894-5441

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1104952993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035041",
            "telephone_number": "407-894-5441",
            "fax_number": "407-894-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035041",
            "telephone_number": "407-894-5441",
            "fax_number": "407-894-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VY",
        "first_name": "DUY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620743000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.