Provectus Family Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PROVECTUS FAMILY EYE CARE

Practice address

4800 S Hulen St Ste 147
Fort Worth, TX 76132-1415

Phone

(817) 769-8566

NPI assigned

Jun 12, 2020

Organization subpart

No

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

Authorized official

Name

Joseph Khang Vu, OD

Title

Optometrist

Phone

(469) 237-0805

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1538784889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 BARTON CREEK BLVD",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750564357",
            "telephone_number": "469-237-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S HULEN ST STE 147",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321415",
            "telephone_number": "817-769-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVECTUS FAMILY EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "KHANG",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "469-237-0805",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prostheticare Fort Worth LP
• Lisa Protsman, PT
• Alexander Sean Prounh, MD
• Jonathan Prouty, LMSW
• Eugene Douglas Provan, RPH
• Provider Csao, LLC
• Provision Home Health
• Pruitt Chiropractic Clinic Hemphill, LLC (Pruitt Chiropractic Clinic)
• Darrell Kellus Pruitt, DDS
• Laterica D. Pruitt, FNP

• Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.