Organization Active NPI

Tony D. Vu, O.D., Inc

  • Optometrist
  • Fountain Valley, CA
National Provider Identifier
1568575264
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11285TPL Issued in CA
Legal business name
TONY D. VU, O.D., INC
Practice address
18430 Brookhurst St Ste 100
Fountain Valley, CA 92708-6726
Phone
(714) 968-9121
Fax
(714) 962-6521
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Authorized official

Name
Dr. Tony Duy Vu, O.D.NPI 1942221346
Title
Owner
Phone
(714) 963-8349

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 11285TPL CA Primary

Addresses

Primary practice location

18430 Brookhurst St Ste 100
Fountain Valley, CA 92708-6726

Mailing address

18430 Brookhurst St Ste 100
Fountain Valley, CA 92708-6726
Phone (714) 968-9121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100112000268 CA Part B Supplier - Clinic/Group Practice 0547301624 Receives reassigned benefits from 2 practitioners
Practice locations: Fountain Valley, CA

National Provider Directory

National Provider Directory

Locations

18430 Brookhurst St
Ste 100
Fountain Vly, CA 92708
Phone (714) 968-9121

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544745600000",
    "number": "1568575264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18430 BROOKHURST ST STE 100",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086726",
            "telephone_number": "714-968-9121",
            "fax_number": "714-962-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18430 BROOKHURST ST STE 100",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086726",
            "telephone_number": "714-968-9121",
            "fax_number": "714-962-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY D. VU, O.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2018-12-14",
        "status": "A",
        "authorized_official_last_name": "VU",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "DUY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-963-8349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11285TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.