Nicolas Vu, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2612 Issued in NC

Practice address

504 E Center St
Lexington, NC 27292-4112

Phone

(336) 249-8901

Fax

(888) 868-8953

NPI assigned

Jun 5, 2019

Last updated

Feb 4, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Optometry

Education

Southern College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clark Optometric Center PAGroup PAC ID 6709911092, 45 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicolas.vu@uprisedirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clark Optometric Center PA

  dba Triangle Visions Optometry

  • Optometrist
  • Durham, NC
  • NPI 1588619217
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of North Carolina, PLLC

  dba MyEyeDr

  • Optometrist
  • Charlotte, NC
  • NPI 1023183563
  Medicare reassignment NPD
• Myeyedr Optometry of North Carolina, PLLC

  • Optometrist
  • Monroe, NC
  • NPI 1407737182
  NPD
• Myeyedr Optometry of North Carolina, PLLC

  dba MyEyeDr.

  • Optometrist
  • Winston Salem, NC
  • NPI 1821553637
  NPD
• Academy Eye Center Optometry, PA

  • Optometrist
  • Thomasville, NC
  • NPI 1972724201
  NPD (past)
• James S Pope Dba Eye Care Clinic

  • Optometrist
  • Thomasville, NC
  • NPI 1942543855
  NPD (past)

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1518525401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E CENTER ST",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272924112",
            "telephone_number": "336-249-8901",
            "fax_number": "888-868-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 E CENTER ST",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272924112",
            "telephone_number": "336-249-8901",
            "fax_number": "888-868-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "NICOLAS",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Utmost Performance Therapy
• Laura Lee Vanderburg, FNP-C
• Leslie Denise Varner, RN
• Izzah Vasim, M.D
• Brooke Nicole Vinson, MD
• Fontasia Monique Wade-Blivens
• David H Wagner, MD
• Wake Forest Baptist Health
• Wake Forest University Health Sciences
• Wake Forest University Health Sciences

• Optometrist in Lexington, NC
• Providers in Lexington, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.