Joanna Vuong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

33520TLG Issued in CA

Practice address

703 Pier Ave Ste C
Hermosa Beach, CA 90254-3958

Phone

(310) 374-9899

NPI assigned

Aug 5, 2016

Sex

Female

Sole proprietor

Yes

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 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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Richard J. Miyamoto, O.D.

  • Optometrist
  • Gardena, CA
  • NPI 1700856986
  Medicare reassignment
• Elements Optometry P.C.

  • Optometrist
  • Hermosa Beach, CA
  • NPI 1053880468
  NPD
• Robert Scott Kapust OD Inc

  • Optometrist
  • Hermosa Beach, CA
  • NPI 1467447243
  NPD
• Richard J. Miyamoto, O.D

  • Optometrist
  • Gardena, CA
  • NPI 1427185990
  NPD (past)

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

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682726400000",
    "number": "1205380334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 PIER AVE STE C",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 PIER AVE STE C",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902543958",
            "telephone_number": "310-374-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUONG",
        "first_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2023-04-29",
        "certification_date": "2022-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33520TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Cielito Villamor
• Visionary Optometry Inc.
• Mary Frances Vollucci, PHARM.D.
• Vanessa C Volpicelli, LMFT
• Jessica Vu, B.F.A., BCABA
• Vy Pham OD Inc. (Eyes of Hermosa Optometry)
• Kelly Condon Waggoner, PSY.D.
• Danielle Wagoner, MA, BCBA
• Lisa Deanne Waldman, PH.D.
• Jayden Walker

• Optometrist in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.