Ideal Vision Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

IDEAL VISION CENTER INC

Practice address

2838 Street Road
Bensalem, PA 19020-0016

Phone

(215) 244-2020

Fax

(215) 244-7777

NPI assigned

Mar 12, 2020

Last updated

Mar 12, 2020By 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

Man T Vu, ODNPI 1275687907

Title

Presiden/Ceo of Ivc Inc

Phone

(215) 244-2020

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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.

• Man Tri Vu, OD

  • Pediatric Optometrist
  • Warminster, PA
  • NPI 1275687907

  Pediatrics

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1336775105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2838 STREET ROAD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190200016",
            "telephone_number": "215-244-2020",
            "fax_number": "215-244-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2838 STREET ROAD",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190200016",
            "telephone_number": "215-244-2020",
            "fax_number": "215-244-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "MAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDEN/CEO OF IVC INC",
        "authorized_official_telephone_number": "215-244-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Bensalem, PA
• Providers in Bensalem, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.