Individual provider Active NPI

Alyssa Vu, OD

  • Optometrist
  • Westlake, OH
National Provider Identifier
1124791082
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.007015 Issued in OH
Practice address
26927 Detroit Rd
Westlake, OH 44145-2370
Phone
(440) 892-5367
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.007015 OH Primary

Addresses

Primary practice location

26927 Detroit Rd
Westlake, OH 44145-2370

Mailing address

26927 Detroit Rd
Westlake, OH 44145-2370
Phone (440) 259-5094

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20211104001676 OH Practitioner - Optometry 7517355902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erie Eye Associates LTDGroup PAC ID 1052367091, 7 clinicians

Practice addresses (Care Compare)

1261 W Royalton Rd
Broadview HTS, OH 44147-2407
Phone (440) 526-7070

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.007015OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Erie Eye Associates LTD Optometrist CurrentSince May 11, 2024 Accepting new patients
Madison Eye Care Associates Inc Optometrist CurrentSince Nov 1, 2021 Accepting new patients

Locations

1261 W Royalton Rd
Broadview Hts, OH 44147
Phone (440) 526-7070

26927 Detroit Rd
Westlake, OH 44145
Phone (440) 892-5367

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1124791082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26927 DETROIT RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452370",
            "telephone_number": "440-259-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26927 DETROIT RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452370",
            "telephone_number": "440-892-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "ALYSSA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.007015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.