Individual provider Active NPI

Yue Fu

  • Optometrist
  • Londonderry, NH
National Provider Identifier
1114206547
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4863 Issued in MA
Practice address
3 Orchard Dr
Londonderry, NH 03038-5124
Phone
(603) 421-0022
NPI assigned
Aug 16, 2011
Last updated
Feb 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 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 4863 MA Primary

Addresses

Primary practice location

3 Orchard Dr
Londonderry, NH 03038-5124

Mailing address

3 Orchard Dr
Londonderry, NH 03038-5124
Phone (603) 421-0022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20111215000077 NH Practitioner - Optometry 7315112687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nutfield Ophthalmology PCGroup PAC ID 0840293031, 5 clinicians

Practice addresses (Care Compare)

3 Orchard View Dr
Londonderry, NH 03053-6606
Phone (603) 421-0022

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4863MAMDRegistered Dietitian
0855NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nutfield Ophthalmology, PC CurrentSince Nov 4, 2016 Accepting new patients
Nutfield Ophthalmology, PC Optometrist PastSince Nov 4, 2016 Accepting new patients

Locations

43 Birch St
Derry, NH 03038
Phone (603) 434-1577

43 Birch St
#A
Derry, NH 03038
Phone (603) 434-3937

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, 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": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1114206547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ORCHARD DR",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030385124",
            "telephone_number": "603-421-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ORCHARD DR",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030385124",
            "telephone_number": "603-421-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FU",
        "first_name": "YUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

Verify at the official NPI Registry.