Individual provider Active NPI

Bruce Vu, O.D.

  • Optometrist
  • Natick, MA
National Provider Identifier
1316493232
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5172 Issued in MA
Practice address
1364 Worcester St
Natick, MA 01760-1514
Phone
(508) 655-8127
NPI assigned
Aug 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5172 MA Primary

Addresses

Primary practice location

1364 Worcester St
Natick, MA 01760-1514

Mailing address

1364 Worcester St
Natick, MA 01760-1514
Phone (508) 655-8127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20161202001693 MA Practitioner - Optometry 8820378151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natick Eye Holdings, LLCGroup PAC ID 3173067527, 7 clinicians

Practice addresses (Care Compare)

1364 Worcester St
Natick, MA 01760-1514
Phone (508) 655-8127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5172MAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Natick Eye Associates, PC Optometrist CurrentSince Sep 19, 2016 Accepting new patients
Natick Eye Holdings, LLC Optometrist CurrentSince Apr 28, 2024 Accepting new patients

Locations

1364 Worcester St
Natick, MA 01760
Phone (508) 653-2102

210 Andover St
Peabody, MA 01960
Phone (978) 278-7400

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1316493232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 WORCESTER ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601514",
            "telephone_number": "508-655-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 WORCESTER ST",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017601514",
            "telephone_number": "508-655-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "BRUCE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "5172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

Verify at the official NPI Registry.