Tina Thi Vu, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11773 Issued in CA

Practice address

42625 Jackson St
Indio, CA 92203-9737

Phone

(760) 347-2897

Fax

(760) 775-7802

NPI assigned

Jan 16, 2007

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

Other names 1

• Tina Nguyen Other name

Medicare fee-for-service enrollment

Enrolled in CA

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, 2001

Medicare assignment

May accept Medicare assignment

Group practices

Fourth Optometric Care of California 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fourth Optometric Care of California

  • Optometrist
  • Mountain View, CA
  • NPI 1497499974

  CA, Optometrist

  Medicare reassignment Care Compare group NPD
• First Optometric Care of Northern California PC

  • Optometrist
  • Rancho Cordova, CA
  • NPI 1154972404

  CA, Optometrist

  Medicare reassignment NPD
• Third Optometric Care of California

  • Optometrist
  • Rancho Cordova, CA
  • NPI 1013516103

  CA

  Medicare reassignment
• First Optometric Care of Northern California PC

  • Optometrist
  • Fair Oaks, CA
  • NPI 1295320778
  NPD
• First Optometric Care of Northern California PC

  • Optometrist
  • San Jose, CA
  • NPI 1487537452
  NPD
• Fourth Optometric Care of California

  • Optometrist
  • Woodland Hills, CA
  • NPI 1568198281
  NPD
• Fourth Optometric Care of California

  • Optometrist
  • Mountain View, CA
  • NPI 1689248874
  NPD
• First Optometric Care of Northern California PC

  • Optometrist
  • Norwalk, CA
  • NPI 1316532898
  NPD (past)
• First Optometric Care of Northern California PC

  • Optometrist
  • Temecula, CA
  • NPI 1538754007
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343174400000",
    "number": "1194876961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42625 JACKSON ST",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922039737",
            "telephone_number": "760-347-2897",
            "fax_number": "760-775-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42625 JACKSON ST",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922039737",
            "telephone_number": "760-347-2897",
            "fax_number": "760-775-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "TINA",
        "middle_name": "THI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "NGUYEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Diane Wagman
• Wal-Mart Stores, Inc.
• Lance Wayne Walcott, CASE MANAGER
• Walgreen Co

• All providers in Indio, CA
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.