Individual provider Active NPI

Alan Cong-Thinh Van, OD

  • Optometrist
  • Astoria, NY
National Provider Identifier
1356014773
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009809 Issued in NY
Practice address
3803 Broadway
Astoria, NY 11103-3183
Phone
(718) 956-3000
NPI assigned
Jul 30, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009809 NY Primary
Optometrist 152W00000X 0618003068 VA

Addresses

Primary practice location

3803 Broadway
Astoria, NY 11103-3183

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, NY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210913001959 VA Practitioner - Optometry 7315343621 Reassigns benefits to 3 organizations
I20211001000297 DC Practitioner - Optometry 7315343621 Reassigns benefits to 1 organization
I20240904000799 NY Practitioner - Optometry 7315343621 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
200 West Optics LLCGroup PAC ID 5395144380, 38 clinicians

Practice addresses (Care Compare)

1765 Central Park Ave
Yonkers, NY 10710-2828
Phone (914) 961-1004

25 W 43Rd St
Suite 316
New York, NY 10036-7414
Phone (212) 921-1888

3803 Broadway
Astoria, NY 11103-3183
Phone (713) 956-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618003068VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Feb 1, 2022 Accepting new patients
Lake Ridge Vision Center PLLC Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Myeyedr Optometry of Virginia PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist Current Accepting new patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Aug 1, 2024 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Dec 1, 2021 Accepting new patients
Campbell Eye PLLC Optometrist CurrentSince Apr 11, 2025 Accepting new patients
Piedmont Vision Care PLLC Optometrist CurrentSince Feb 1, 2024 Accepting new patients
200 West Optics, LLC Optometrist CurrentSince Feb 1, 2025 Accepting new patients
Kips Bay Optical LTD Optometrist CurrentSince Aug 30, 2024 Accepting new patients
200 West Optics, LLC Optometrist CurrentSince Feb 1, 2025 Accepting new patients
Myeyedr Optometry of Virginia, PLLC Optometrist CurrentSince Dec 1, 2021 Accepting new patients
Lake Ridge Vision Center, Inc Optometrist PastSince Feb 1, 2024 Accepting new patients
Rye Eye Care OD PLLC Optometrist PastSince Aug 30, 2024 Accepting new patients

Locations

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

326 7th Ave
Brooklyn, NY 11215
Phone (718) 832-3513

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

608 2nd Ave
New York, NY 10016
Phone (212) 686-1653

25 W 43rd St
Ste 316
New York, NY 10036
Phone (212) 768-0270

431 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 931-6330

770 McLean Ave
Yonkers, NY 10704
Phone (914) 803-0500

1765 Central Park Ave
Yonkers, NY 10710
Phone (914) 961-1004

4555 Duke St
Alexandria, VA 22304
Phone (703) 370-7111

1211 S Fern St
Arlington, VA 22202
Phone (703) 888-2999

4121 Wilson Blvd
Ste 100
Arlington, VA 22203
Phone (703) 525-7474

44727 Brimfield Dr
Ashburn, VA 20147
Phone (571) 385-4600

5765 Burke Centre Pkwy
Ste L
Burke, VA 22015
Phone (703) 250-2000

14245P Centreville Sq
Centreville, VA 20121
Phone (703) 830-2010

5809 Leesburg Pike
Falls Church, VA 22041
Phone (866) 693-9336

7511 Leesburg Pike
Ste 101B
Falls Church, VA 22043
Phone (703) 942-5300

10660 Crestwood Dr
Manassas, VA 20109
Phone (703) 369-3937

1841 Fountain Dr
Reston, VA 20190
Phone (703) 264-2020

6406 Springfield Plz
Springfield, VA 22150
Phone (703) 451-4577

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

401 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5544

12444 Dillingham Sq
Woodbridge, VA 22192
Phone (703) 680-4323

14465 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 494-6184

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1356014773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033183",
            "telephone_number": "718-956-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "ALAN",
        "middle_name": "CONG-THINH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-30",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009809",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.