Individual provider Active NPI

Phong Quoc Vu, O.D

  • Optometrist
  • Napa, CA
National Provider Identifier
1255523189
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13356 Issued in CA
Practice address
800 Trancas St
Suite a
Napa, CA 94558-3044
Phone
(707) 255-6212
Fax
(707) 255-6290
NPI assigned
Aug 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13356 CA Primary

Addresses

Primary practice location

800 Trancas St
Suite a
Napa, CA 94558-3044

Mailing address

800 Trancas St
Suite a
Napa, CA 94558-3044

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080114000844 CA Practitioner - Optometry 4082795224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Specialists Medical Group of Napa Valley IncGroup PAC ID 2860431012, 4 clinicians

Practice addresses (Care Compare)

800 Trancas St
Suite a
Napa, CA 94558-3044
Phone (707) 255-6212

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Specialists Medical Group of Napa Valley Inc CurrentSince Aug 1, 2007 Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

800 Trancas St
Ste A
Napa, CA 94558
Phone (707) 255-6212

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1255523189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 TRANCAS ST",
            "address_2": "SUITE A",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 TRANCAS ST",
            "address_2": "SUITE A",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583044",
            "telephone_number": "707-255-6212",
            "fax_number": "707-255-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "PHONG",
        "middle_name": "QUOC",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.