Individual provider Active NPI

Vy Truc Ha, OD

  • Optometrist
  • Seattle, WA
National Provider Identifier
1497375935
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
61184338 Issued in WA
Practice address
1101 Madison St Ste 600
Seattle, WA 98104-1340
Phone
(206) 215-2020
NPI assigned
Apr 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 61184338 WA Primary

Addresses

Primary practice location

1101 Madison St Ste 600
Seattle, WA 98104-1340

Mailing address

145 S Heartwood Way
Anaheim, CA 92801-5151
Phone (714) 603-8620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20211011001979 WA Practitioner - Optometry 8325446016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Eye Center PLLCGroup PAC ID 3173410057, 33 clinicians

Practice addresses (Care Compare)

1101 Madison St
Suite 600
Seattle, WA 98104-3501
Phone (206) 215-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61184338WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Steven a. Davis. O.D., P.S. Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Evergreen Eye Center, PLLC Optometrist Current Accepting new patients
Evergreen Eye Center, PLLC CurrentSince Mar 1, 2025 Accepting new patients
Mill Creek Family Eyewear Optometrist CurrentSince Sep 1, 2021 Accepting new patients
Evergreen Eye Center, PLLC CurrentSince Mar 1, 2025 Accepting new patients
Evergreen Eye Center, PLLC Optometrist Past Accepting new patients
Eye Associates Northwest, PLLC Past Accepting new patients

Locations

21616 76th Ave W
Ste 110
Edmonds, WA 98026
Phone (425) 775-0548

11325 NE 120th St
Kirkland, WA 98034
Phone (425) 821-6655

16708 Bothell Everett Hwy
Ste 103
Mill Creek, WA 98012
Phone (425) 480-3111

1455 NW Leary Way
Ste 300
Seattle, WA 98107
Phone (206) 784-3350

155 NE 100th St
Ste 110
Seattle, WA 98125
Phone (206) 363-8855

1101 Madison St
Ste 600
Seattle, WA 98104
Phone (206) 215-2004

Organizations & group practices 7

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": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1497375935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S HEARTWOOD WAY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015151",
            "telephone_number": "714-603-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST STE 600",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041340",
            "telephone_number": "206-215-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "VY",
        "middle_name": "TRUC",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-24",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "61184338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.