Individual provider Active NPI

Lee Nguyen Vu, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1235218082
Registry record updated Nov 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05217T Issued in TX
Practice address
9616 N Lamar Blvd
Ste. 159
Austin, TX 78753-4150
Phone
(512) 835-9226
Fax
(512) 835-7413
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 05217T TX Primary

Addresses

Primary practice location

9616 N Lamar Blvd
Ste. 159
Austin, TX 78753-4150

Mailing address

9616 N Lamar Blvd
Ste. 159
Austin, TX 78753-4250
Phone (512) 835-9226

Other identifiers 1

IdentifierTypeStateIssuer
0418196-02MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05217TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven Tran, O.D., P.a. Optometrist Past Accepting new patients
Clear Vision Optometry, P.C. Optometrist PastSince May 29, 2017 Accepting new patients

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321660800000",
    "number": "1235218082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9616 N LAMAR BLVD",
            "address_2": "STE. 159",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787534250",
            "telephone_number": "512-835-9226",
            "fax_number": "512-835-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9616 N LAMAR BLVD",
            "address_2": "STE. 159",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787534150",
            "telephone_number": "512-835-9226",
            "fax_number": "512-835-7413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "LEE",
        "middle_name": "NGUYEN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2011-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05217T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0418196-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.