Thu Van, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2587 Issued in AR

Practice address

1155 Skyline Dr
Conway, AR 72032-2857

Phone

(501) 329-2020

NPI assigned

Aug 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Optometry

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Thu Van OD PA

  • Optometrist
  • Conway, AR
  • NPI 1154740686
  Medicare reassignment NPD

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1356532709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 PALM BEACH AVE",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720192023",
            "telephone_number": "501-329-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 SKYLINE DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322857",
            "telephone_number": "501-329-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1910 Martin Luther King Blvd",
            "address_purpose": "LOCATION",
            "city": "Malvern",
            "state": "AR",
            "postal_code": "721042203",
            "country_code": "US",
            "telephone_number": "501-332-7558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN",
        "first_name": "THU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167610722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vafa Ferdowsian DPM, P.a.
• Pedro Vincente Valdes Jr.
• Carleigh Lynn Valentine Tapp, OT
• Kara Valentine
• Jon C Vammen, DDS
• Cliff Vanburen, D.C.
• Robert Thomas Vanhook, M.D.
• Kathleen Idella-Robichaud Vasquez, APRN, AGPCNP-BC
• Kelli Vasquez
• Zayne Alejandrina Vasquez

• Optometrist in Conway, AR
• Providers in Conway, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.