Organization Active NPI

Kim Quyen Bui OD, PC

  • Optometrist
  • Centreville, VA
National Provider Identifier
1700916764
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001200 Issued in VA
Legal business name
KIM QUYEN BUI OD, PC
Practice address
14637 Lee Highway
Suite 104
Centreville, VA 20121-5830
Phone
(703) 266-9099
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Kim Quyen Bui, O.D.
Title
President
Phone
(703) 266-9099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0618001200 VA Primary

Addresses

Primary practice location

14637 Lee Highway
Suite 104
Centreville, VA 20121-5830

Mailing address

7613 Northington CT
Gainesville, VA 20155-4856

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700916764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7613 NORTHINGTON CT",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201554856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14637 LEE HIGHWAY",
            "address_2": "SUITE 104",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201215830",
            "telephone_number": "703-266-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM QUYEN BUI OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "KIM QUYEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-266-9099",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.