Individual provider Active NPI

Yen P Vu, O.D.

  • Optometrist
  • Garden Grove, CA
National Provider Identifier
1700838018
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT11774T Issued in CA
Practice address
12081 Euclid St
Garden Grove, CA 92840-3332
Phone
(714) 741-3937
Fax
(714) 638-3689
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT11774T CA Primary

Addresses

Primary practice location

12081 Euclid St
Garden Grove, CA 92840-3332

Mailing address

12081 Euclid St
Garden Grove, CA 92840-3332
Phone (714) 741-3937

Other identifiers 1

IdentifierTypeStateIssuer
SD0011774MedicaidCA

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
I20090610000454 CA Practitioner - Optometry 6305821844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12081 Euclid St
Garden Grove, CA 92840-3332
Phone (714) 741-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT11774TCAMDOptometrist
11774CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Yen P Vu O D a Professional Corporation Optometrist CurrentSince Jan 29, 2016 Accepting new patients
Tom Sowash OD & Associates PC Optometrist Past Accepting new patients
Optometric Special Testing Centers, Inc. Optometrist Past Accepting new patients
Uc2020 Optometry PC Optometrist PastSince May 1, 2009 Accepting new patients
Visionworks Inc Past Accepting new patients
S L Christensen O D & Assoc P C Optometrist Past Accepting new patients

Locations

12081 Euclid St
Garden Grove, CA 92840
Phone (714) 741-3937

Organizations & group practices 6

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1700838018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12081 EUCLID ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928403332",
            "telephone_number": "714-741-3937",
            "fax_number": "714-638-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12081 EUCLID ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928403332",
            "telephone_number": "714-741-3937",
            "fax_number": "714-638-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "YEN",
        "middle_name": "P",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT11774T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0011774",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.