Individual provider Active NPI

Vivien Van Vu, O.D.

  • Optometrist
  • Bronx, NY
National Provider Identifier
1528042751
Registry record updated Apr 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
VUT006145 Issued in NY
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

Updated by the provider on Apr 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060320000641 NY Practitioner - Optometry 9335156116 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
VUT006145NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.