Kathy Vu Ngo, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1631 Issued in AZ

Legal business name

KATHY VU NGO, PLLC

Practice address

11851 N 51St Ave
Suite 120
Glendale, AZ 85304-2809

Phone

(623) 414-6476

NPI assigned

Jun 26, 2014

Last updated

Jun 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy VuNPI 1073778601

Title

Member

Phone

(347) 733-4797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathy Vu, O.D.

  • Optometrist
  • Glendale, AZ
  • NPI 1073778601
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1336554542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11851 N 51ST AVE",
            "address_2": "SUITE 120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042809",
            "telephone_number": "623-414-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 N 51ST AVE",
            "address_2": "SUITE 120",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042809",
            "telephone_number": "623-414-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY VU NGO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "347-733-4797"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Karnes, RN
• Ramsen Kasha, LPC
• Avery Jensen Kaspari
• Tina Kastler, O.D.
• Kathy Crowley LCSW LLC
• Kaufman Integrated Healthcare, LLC
• David J. Kaufman, D.O.
• Robert Gilbert Kaufman, D.O.
• Shelley S Kaufman, PHD
• Jasjeet Kaur, MD

• Optometrist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.