Active NPI
Vivien Van Vu, O.D.
- Optometrist
- Bronx, NY
National Provider Identifier
1528042751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT006145
- Practice address
- 43 E 167TH St
Bronx, NY 10452-8206 - Phone
- (718) 992-2128
- NPI assigned
- Dec 1, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 | VUT006145 | NY | Primary |
Addresses
Primary practice location
43 E 167TH St
Bronx, NY 10452-8206
Mailing address
17 Chesterfield LN
Staten Island, NY 10314-7883
Phone (718) 370-1026
Other names 1
- Van Uyen Vu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060320000641 | NY | Practitioner - Optometry | 9335156116 | Practice locations: Brooklyn, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VUT006145 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Optometry, P.C. | Optometrist | Current | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients |
Locations
2307 Beverley Rd
Brooklyn, NY 11226
Phone (718) 826-5063
Organizations & group practices 2
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
- Brooklyn, NY
- NPI 1689133977
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587081600000",
"number": "1528042751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 CHESTERFIELD LN",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103147883",
"telephone_number": "718-370-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 E 167TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104528206",
"telephone_number": "718-992-2128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "VIVIEN",
"middle_name": "VAN",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-01",
"last_updated": "2020-04-17",
"certification_date": "2020-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT006145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VAN",
"last_name": "VU",
"middle_name": "UYEN",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.