Individual provider Active NPI

Dylan H Bui, OD

  • Optometrist
  • Malden, MA
National Provider Identifier
1659345874
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4404 Issued in MA
Practice address
216 Centre St
Malden, MA 02148-5526
Phone
(781) 321-8883
Fax
(781) 321-8882
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4404 MA Primary

Addresses

Primary practice location

216 Centre St
Malden, MA 02148-5526

Mailing address

216 Centre St
Malden, MA 02148-5526
Phone (781) 321-8883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040915000452 MA Practitioner - Optometry 5294702510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

216 Centre St
Malden, MA 02148-5526
Phone (781) 321-8883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
In Vision Boston Optometrist CurrentSince Jan 8, 2008 Accepting new patients

Locations

216 Centre St
Malden, MA 02148
Phone (781) 321-8883

3 Pleasant St
Malden, MA 02148
Phone (781) 321-8883

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1659345874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 CENTRE ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485526",
            "telephone_number": "781-321-8883",
            "fax_number": "781-321-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 CENTRE ST",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021485526",
            "telephone_number": "781-321-8883",
            "fax_number": "781-321-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "DYLAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

Verify at the official NPI Registry.