Individual provider Active NPI

Danny Duy Vu, O.D.

  • Optometrist
  • Upland, CA
National Provider Identifier
1285755280
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11443 Issued in CA
Practice address
1540 W Foothill Blvd
Upland, CA 91786-3653
Phone
(909) 981-7634
Fax
(909) 985-7497
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11443 CA Primary

Addresses

Primary practice location

1540 W Foothill Blvd
Upland, CA 91786-3653

Mailing address

1528 Highpoint St
Upland, CA 91784-8613
Phone (909) 559-8977

Other names 1

  • Dr. Danny Duy Vu Professional name

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
I20240203000280 CA Practitioner - Optometry 7214370501 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Danny Duy Vu, OD, Inc. Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Danny Duy Vu, OD, Inc. Optometrist CurrentSince Dec 20, 2023 Accepting new patients

Locations

1540 W Foothill Blvd
Upland, CA 91786
Phone (909) 920-0942

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1285755280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 HIGHPOINT ST",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917848613",
            "telephone_number": "909-559-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 W FOOTHILL BLVD",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917863653",
            "telephone_number": "909-981-7634",
            "fax_number": "909-985-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "DANNY",
        "middle_name": "DUY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANNY",
            "last_name": "VU",
            "middle_name": "DUY",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.