Individual provider Active NPI

Christine Bui

  • Optometrist
  • Venice, FL
National Provider Identifier
1396313607
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5998 Issued in FL
Practice address
1360 E Venice Ave
Venice, FL 34285-9066
Phone
(941) 488-2020
NPI assigned
Jun 14, 2021
Reactivated
Oct 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X FL
Optometrist 152W00000X OPC5998 FL Primary

Addresses

Primary practice location

1360 E Venice Ave
Venice, FL 34285-9066

Mailing address

10410 Claybrook Dr
Houston, TX 77089-2165
Phone (281) 323-1043

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20211208001925 FL Practitioner - Optometry 5991195877 Reassigns benefits to 2 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
Central Florida Premier Eye AssociatesGroup PAC ID 7618914664, 9 clinicians

Practice addresses (Care Compare)

5431 E Sr
Suite 44
Wildwood, FL 34785-8294
Phone (352) 632-2020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5998FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Oct 30, 2021 Accepting new patients
Santa Fe Surgery Center LLC CurrentSince Nov 14, 2022 Accepting new patients
Central Florida Premier Eye Associates CurrentSince Nov 14, 2022 Accepting new patients
National Vision, Inc. Past Accepting new patients
Central Florida Premier Eye Associates Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

4001 1st St E
Bradenton, FL 34208
Phone (941) 745-9800

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

601 E Dixie Ave
Ste 201
Leesburg, FL 34748
Phone (352) 253-5961

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

77 N Cattlemen Rd
Sarasota, FL 34243
Phone (941) 893-6109

1400 N US Highway 441
Ste 521
The Villages, FL 32159
Phone (352) 253-5961

5431 E State Road 44
Wildwood, FL 34785
Phone (352) 632-2020

5431 E State Road 44
Ste 1
Wildwood, FL 34785
Phone (352) 360-6261

Interoperability endpoints

  • Direct secure messaging: cbui@useye.intellechartdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1396313607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 CLAYBROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770892165",
            "telephone_number": "281-323-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E VENICE AVE",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342859066",
            "telephone_number": "941-488-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "CHRISTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "deactivation_date": "2021-08-24",
        "reactivation_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.