Organization Active NPI

DNV Optometry LLC

  • Optometrist
  • Berkeley Heights, NJ
National Provider Identifier
1649073081
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DNV OPTOMETRY LLC
Practice address
369 Springfield Ave Ste 1
Berkeley Heights, NJ 07922-1170
Phone
(908) 464-0123
NPI assigned
Mar 31, 2025
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Dr. Derek Vuong, ODNPI 1326713793
Title
Optometrist
Phone
(626) 525-3016

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 Primary

Addresses

Primary practice location

369 Springfield Ave Ste 1
Berkeley Heights, NJ 07922-1170

Mailing address

369 Springfield Ave Ste 1
Berkeley Heights, NJ 07922-1170

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250616000713 NJ Part B Supplier - Clinic/Group Practice 5294246476 Receives reassigned benefits from 3 practitioners
Practice locations: Berkeley Heights, NJ

National Provider Directory

National Provider Directory

Locations

369 Springfield Ave
Ste 1
Berkeley Hts, NJ 07922
Phone (908) 464-0123

Practitioners & affiliated clinicians

Practitioners 3

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": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1649073081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 SPRINGFIELD AVE STE 1",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 SPRINGFIELD AVE STE 1",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079221170",
            "telephone_number": "908-464-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DNV OPTOMETRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "VUONG",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "626-525-3016",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

Other providers in Berkeley Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; 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.