Individual provider Active NPI

Huong T Vu, O.D.

  • Optometrist
  • Moreno Valley, CA
National Provider Identifier
1699975821
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13288 Issued in CA
Practice address
24250 Postal Ave
Moreno Valley, CA 92553-0519
Phone
(951) 242-2020
NPI assigned
Jul 25, 2007
Last updated
Sep 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13288 CA Primary

Addresses

Primary practice location

24250 Postal Ave
Moreno Valley, CA 92553-0519

Mailing address

24250 Postal Ave
Moreno Valley, CA 92553-5782
Phone (951) 242-2020

Other practice location 1

12721 Moreno Beach Dr
Moreno Valley, CA 92555-4411
Phone (951) 247-1341

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080115000730 CA Practitioner - Optometry 3173604220 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24250 Postal Ave
Suite 100
Moreno Valley, CA 92553-7722
Phone (951) 242-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eco Optometry, Inc Optometrist CurrentSince Aug 20, 2018 Accepting new patients
Luxottica of America Inc. Past Accepting new patients

Locations

10702 Westminster Ave
Garden Grove, CA 92843
Phone (714) 989-6868

12721 Moreno Beach Dr
Moreno Valley, CA 92555
Phone (951) 242-6599

24250 Postal Ave
Moreno Valley, CA 92553
Phone (951) 242-2020

24250 Postal Ave
Ste 100
Moreno Valley, CA 92553
Phone (951) 242-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1699975821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24250 POSTAL AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535782",
            "telephone_number": "951-242-2020",
            "fax_number": "951-488-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24250 POSTAL AVE",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925530519",
            "telephone_number": "951-242-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12721 Moreno Beach Dr",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925554411",
            "country_code": "US",
            "telephone_number": "951-247-1341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VU",
        "first_name": "HUONG",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.