Mong Linh Thi Van, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5507 Issued in FL

Practice address

5389 Woodbine Rd
Pace, FL 32571-8765

Phone

(850) 995-3232

Fax

(850) 995-2606

NPI assigned

May 25, 2018

Last updated

May 25, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sight and Sun Eyeworks LLCGroup PAC ID 0042362527, 27 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: linhvan@direct.eyecare-partners.com

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.

• Sight and Sun Eyeworks LLC

  dba Clarkson Eye Care

  • Optometrist
  • Pensacola, FL
  • NPI 1932359106
  Medicare reassignment Care Compare group NPD
• Sight and Sun Eyeworks LLC

  • Optometrist
  • Lakeland, FL
  • NPI 1437817467
  NPD
• Sight and Sun Eyeworks LLC

  dba Clarkson Eye Care

  • Optometrist
  • Gulf Breeze, FL
  • NPI 1932386620
  NPD (past)

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1164913026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5389 WOODBINE RD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718765",
            "telephone_number": "850-995-3232",
            "fax_number": "850-995-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5389 WOODBINE RD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718765",
            "telephone_number": "850-995-3232",
            "fax_number": "850-995-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "MONG LINH",
        "middle_name": "THI",
        "name_prefix": "Miss",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angela Adams Ullon, P.A.
• Cheri M. Van Atta, L.M.T.
• Haley Marie Vaughn, PHARM D
• Victorian Manor Retirement Center,Inc.
• Andrea Michelle Vinson
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0990)
• Wal-Mart Stores East, LP (Walmart Pharmacy 10-2467)

• Optometrist in Pace, FL
• Providers in Pace, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.