Individual provider Active NPI

Uyenthu Vo, OD

  • Optometrist
  • East Point, GA
National Provider Identifier
1609484773
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003242 Issued in GA
Practice address
3600 Marketplace Blvd
East Point, GA 30344-8129
Phone
(404) 346-2020
NPI assigned
Jul 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 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 OPT003242 GA Primary

Addresses

Primary practice location

3600 Marketplace Blvd
East Point, GA 30344-8129

Mailing address

4437 Boatmans CV
Stone Mountain, GA 30083-2483
Phone (770) 789-7904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20240112003685 GA Practitioner - Optometry 1254782345 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003242GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Infocus Eye Care, Inc. Optometrist CurrentSince Nov 17, 2023 Accepting new patients

Locations

6700 Douglas Blvd
Ste 1270
Douglasville, GA 30135
Phone (770) 577-4434

Organizations & group practices 1

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": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1609484773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4437 BOATMANS CV",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832483",
            "telephone_number": "770-789-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 MARKETPLACE BLVD",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303448129",
            "telephone_number": "404-346-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "UYENTHU",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

Verify at the official NPI Registry.