Individual provider Active NPI

Vuon Lay Nim, OD

  • Corneal and Contact Management Optometrist
  • Duluth, GA
National Provider Identifier
1669909701
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPT003030 Issued in GA
Practice address
3940 Buford Hwy Ste A104
Duluth, GA 30096-8212
Phone
(470) 440-4099
Fax
(470) 588-8894
NPI assigned
May 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003030 GA
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X OPT003030 GA Primary

Addresses

Primary practice location

3940 Buford Hwy Ste A104
Duluth, GA 30096-8212

Mailing address

3940 Buford Hwy Ste A104
Duluth, GA 30096-8212
Phone (470) 440-4099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OPT003030GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Vision Institute Corneal and Contact Management CurrentSince Nov 29, 2020 Accepting new patients
Pediatric Vision Development Center of Gwinnett Single Specialty Past Accepting new patients
Wood Eyecare, P.C. Single Specialty Past Accepting new patients

Locations

3940 Buford Hwy
Ste A104
Duluth, GA 30096
Phone (470) 440-4099

Organizations & group practices 3

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": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1669909701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 BUFORD HWY STE A104",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968212",
            "telephone_number": "470-440-4099",
            "fax_number": "470-588-8894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 BUFORD HWY STE A104",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968212",
            "telephone_number": "470-440-4099",
            "fax_number": "470-588-8894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIM",
        "first_name": "VUON",
        "middle_name": "LAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003030",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "OPT003030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.