Karissa H DO, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11125T Issued in CA

Practice address

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

Phone

(714) 968-9121

Fax

(714) 962-6521

NPI assigned

Dec 22, 2006

Last updated

Dec 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tony D Vu OD IncGroup PAC ID 0547301624, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tony D. Vu, O.D., Inc

  • Optometrist
  • Fountain Valley, CA
  • NPI 1568575264
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1598820433",
    "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": {
        "last_name": "DO",
        "first_name": "KARISSA",
        "middle_name": "H",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11125T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Dinh
• Son T. Dinh, M.D.
• DNP Provider Solutions Professional Corporation
• Anh Quynh DO, PHARMD
• Danh DO, M.D.
• Kevin DO, LVN
• Kevin DO
• Marianne M. DO, O.D.
• Michael H DO, M.D.
• Pauline Ngoc DO, PHARM. D.

• Optometrist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Optometrist in California

• 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; 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.