Active NPI
Pahoua Xai Xa Vue, OD
- Optometrist
- Merced, CA
National Provider Identifier
1477641934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11775
- Practice address
- 1011 W Olive Ave
Merced, CA 95340 - Phone
- (209) 725-2352
- Fax
- (209) 722-6023
- NPI assigned
- Oct 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11775 | CA | Primary |
Addresses
Primary practice location
1011 W Olive Ave
Merced, CA 95340
Mailing address
473 Brookdale Dr
Merced, CA 95340
Phone (209) 725-1429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11775 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Eyecare Optometry Inc | Optometrist | Current | Accepting new patients |
| Dpmotikonrca LLC | Current | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients | |
| Luxottica Retail North America Inc | Past | Accepting new patients |
Locations
425 W Bonita Ave
Ste 110B
San Dimas, CA 91773
Phone (909) 394-0462
1335 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (562) 867-0811
Organizations & group practices 4
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.
-
- Optometrist
- San Dimas, CA
- NPI 1801949573
-
- Podiatrist
- Bishop, CA
- NPI 1285952150
-
dba Sears Optical #1757
- Eyewear Supplier
- Merced, CA
- NPI 1154479780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477641934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "473 BROOKDALE DR",
"city": "MERCED",
"state": "CA",
"postal_code": "95340",
"telephone_number": "209-725-1429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 W OLIVE AVE",
"city": "MERCED",
"state": "CA",
"postal_code": "95340",
"telephone_number": "209-725-2352",
"fax_number": "209-722-6023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VUE",
"first_name": "PAHOUA",
"middle_name": "XAI XA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.