NPIMap

Organization Active NPI

Dawn Thanh Vu, OD, an Optometric Professional Corporation

  • Optometrist
  • Tustin, CA
National Provider Identifier
1376831057
Registry record updated Jan 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12373T Issued in CA
Legal business name
DAWN THANH VU, OD, AN OPTOMETRIC PROFESSIONAL CORPORATION
Practice address
700 W 1St St Ste 1
Tustin, CA 92780-2948
Phone
(714) 547-6819
Fax
(714) 547-6070
NPI assigned
Jul 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2023

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

Authorized official

Name
Dr. Dawn Thanh Vu, ODNPI 1255325296
Title
President
Phone
(714) 357-7950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12373T CA Primary

Addresses

Primary practice location

700 W 1St St Ste 1
Tustin, CA 92780-2948

Mailing address

700 W 1St St Ste 1
Tustin, CA 92780-2948
Phone (714) 547-6819

Other names 1

  • Angeles Optometric Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111121000325 CA Part B Supplier - Clinic/Group Practice 9234303686 Receives reassigned benefits from 4 practitioners
Practice locations: Palmdale, CA

National Provider Directory

National Provider Directory

Locations

700 W 1st St
Ste 1
Tustin, CA 92780
Phone (714) 547-6819

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673740800000",
    "number": "1376831057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W 1ST ST STE 1",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802948",
            "telephone_number": "714-547-6819",
            "fax_number": "714-547-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 1ST ST STE 1",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927802948",
            "telephone_number": "714-547-6819",
            "fax_number": "714-547-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN THANH VU, OD, AN OPTOMETRIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2023-01-15",
        "certification_date": "2023-01-15",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-357-7950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12373T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angeles Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2023; 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.