Active NPI
Kathy Nga Vuu, OD
- Optometrist
- Renton, WA
National Provider Identifier
1497077382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD0004048
- Practice address
- 900 SW 16TH St
Suite 200
Renton, WA 98057-2631 - Phone
- (425) 525-1000
- Fax
- (425) 525-1001
- NPI assigned
- Feb 19, 2010
- 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 | OD0004048 | WA | Primary |
Addresses
Primary practice location
900 SW 16TH St
Suite 200
Renton, WA 98057-2631
Mailing address
PO Box 47148
Seattle, WA 98146-7148
Phone (206) 915-5173
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 5, 2024 through Jun 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD0004048 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyes on Lake Stevens | Optometrist | Current | Accepting new patients |
Locations
9210 24th St SE
Lake Stevens, WA 98258
Phone (425) 367-6437
Organizations & group practices 1
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
- Lake Stevens, WA
- NPI 1073222790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1497077382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 47148",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981467148",
"telephone_number": "206-915-5173",
"fax_number": "206-932-1929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 SW 16TH ST",
"address_2": "SUITE 200",
"city": "RENTON",
"state": "WA",
"postal_code": "980572631",
"telephone_number": "425-525-1000",
"fax_number": "425-525-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VUU",
"first_name": "KATHY",
"middle_name": "NGA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-19",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD0004048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.