Individual provider Active NPI

Laurel Vuong, M.D.

  • Ophthalmology Physician
  • Boston, MA
National Provider Identifier
1649504523
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
069998 Issued in GA
Practice address
800 Washington St
Pratt Ophthalmology Associates, Inc
Boston, MA 02111-1552
Phone
(617) 636-5000
NPI assigned
Sep 25, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 069998 GA Primary

Addresses

Primary practice location

800 Washington St
Pratt Ophthalmology Associates, Inc
Boston, MA 02111-1552

Mailing address

800 Washington St
Pratt Ophthalmology Associates, Inc
Boston, MA 02111-1552
Phone (617) 636-5000

Other identifiers 2

IdentifierTypeStateIssuer
069998OtherGAGA LICENSE
241506OtherMAMA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130806000703 GA Practitioner - Ophthalmology 3870735731 Reassigns benefits to 2 organizations
I20140818001334 MA Practitioner - Ophthalmology 3870735731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tufts University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pratt Ophthalmology Associates IncGroup PAC ID 8628960218, 55 clinicians

Practice addresses (Care Compare)

725 Concord Ave
Suite 2200
Cambridge, MA 02138-1040
Phone (617) 876-3660

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5487

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
258360MAMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Ophthalmology Associates, Inc CurrentSince Jul 1, 2014 Accepting new patients
The Emory Clinic Inc CurrentSince Jul 7, 2013 Accepting new patients
Emory Medical Care Foundation Inc Current Accepting new patients
Pratt Ophthalmology Associates Inc Ophthalmology CurrentSince Jul 1, 2014 Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

50 Staniford St
Ste 600
Boston, MA 02114
Phone (617) 367-4800

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

Interoperability endpoints

  • Direct secure messaging: lvuong56596@tuftsmedicine.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410998400000",
    "number": "1649504523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "address_2": "PRATT OPHTHALMOLOGY ASSOCIATES, INC",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "address_2": "PRATT OPHTHALMOLOGY ASSOCIATES, INC",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUONG",
        "first_name": "LAUREL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2014-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "069998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA LICENSE",
            "identifier": "069998",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA LICENSE",
            "identifier": "241506",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.