Active NPI
Rebecca D Bui Van, O.D.
- Optometrist
- Carmichael, CA
National Provider Identifier
1245323179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11298
- Practice address
- 4005 Manzanita Ave Ste 57
Carmichael, CA 95608-1784 - Phone
- (916) 483-6661
- Fax
- (916) 514-8637
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Vision Optometrist | 152WX0102X | 112098T | CA | |
| Optometrist | 152W00000X | 11298 | CA | Primary |
Addresses
Primary practice location
4005 Manzanita Ave Ste 57
Carmichael, CA 95608-1784
Mailing address
4005 Manzanita Ave Ste 57
Carmichael, CA 95608-1784
Phone (916) 483-6661
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4005 Manzanita Ave
Suite 57
Carmichael, CA 95608-1784
Phone (916) 483-6661
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 112098T | CA | MD | Occupational Vision Optometrist |
| 11298 | CA | MD | Acupuncturist |
Organizations & group practices 1
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.
-
- Corneal and Contact Management Optometrist
- Carmichael, CA
- NPI 1750526224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1245323179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4005 MANZANITA AVE STE 57",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956081784",
"telephone_number": "916-483-6661",
"fax_number": "916-483-6664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 MANZANITA AVE STE 57",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956081784",
"telephone_number": "916-483-6661",
"fax_number": "916-514-8637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUI VAN",
"first_name": "REBECCA",
"middle_name": "D",
"name_prefix": "Ms.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "CA",
"license": "112098T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.