Kiet Bui, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

14862 Issued in CA

Practice address

1209 Plaza Dr
West Covina, CA 91790-2817

Phone

(626) 939-2068

Fax

(626) 856-3172

NPI assigned

Feb 28, 2014

Last updated

Feb 28, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393545600000",
    "number": "1508281403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10990 KIMBERLY AVE",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917636071",
            "telephone_number": "626-939-2068",
            "fax_number": "626-856-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 PLAZA DR",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902817",
            "telephone_number": "626-939-2068",
            "fax_number": "626-856-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "KIET",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Buccino, MFT
• Daniela Bueno
• Lissette Bueno
• Maria Susan Afable Buhay-Maglunog, M.D.
• Vivian Huang Buhler
• Nelia Bautista Bulos, NP
• Thear Bun
• Michael John Pancho Bunag, NP
• Brittany Burciaga
• Susan Su Burns, LCSW

• Optometrist in West Covina, CA
• Providers in West Covina, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.

Verify at the official NPI Registry.