Thu Van OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

2587 Issued in AR

Legal business name

THU VAN OD PA

Practice address

1155 Skyline Dr
Conway, AR 72032-2857

Phone

(501) 329-2020

Fax

(501) 329-2021

NPI assigned

Apr 11, 2014

Organization subpart

No

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

Authorized official

Name

Justin Dang

Title

Manager

Phone

(501) 329-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raymond Marc Carozza, O.D.

  • Optometrist
  • Arkadelphia, AR
  • NPI 1316959596
  Medicare reassignment NPD
• Gregory A Ramer, O.D.

  • Optometrist
  • Hot Springs, AR
  • NPI 1821345562
  Medicare reassignment NPD
• Thu Van, O.D.

  • Optometrist
  • Conway, AR
  • NPI 1356532709
  Medicare reassignment NPD

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1154740686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 PALM BEACH AVE",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720192023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 SKYLINE DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322857",
            "telephone_number": "501-329-2020",
            "fax_number": "501-329-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Martin Luther King Blvd",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "AR",
            "postal_code": "721042203",
            "country_code": "US",
            "telephone_number": "501-332-7558",
            "fax_number": "501-332-7221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THU VAN OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-11",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "501-329-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Lynn Thompson, COTA
• Sarah A. Thornton, APN
• Throneberry Family Clinic, P.a.
• Christopher Lee Throneberry, PT
• James Barton Throneberry, MD
• Anna Thurlkill, PHARMD
• Autumn Thurman
• Kelli Brooke Thurmon, ST
• Thurow Counseling
• Brandon M Thurow, MD

• Optometrist in Conway, AR
• Providers in Conway, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.