Individual provider Active NPI

Tuongvy Ngo, OD

  • Optometrist
  • Lake Elsinore, CA
National Provider Identifier
1700918091
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11930T Issued in CA
Practice address
18285 Collier Ave Ste 1F
Lake Elsinore, CA 92530-2786
Phone
(951) 674-5057
Fax
(951) 674-4392
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 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 11930T CA Primary

Addresses

Primary practice location

18285 Collier Ave Ste 1F
Lake Elsinore, CA 92530-2786

Mailing address

18285 Collier Ave Ste 1F
Lake Elsinore, CA 92530-2786
Phone (951) 674-5057

Other names 1

  • Dr. Tuongvy Ngo Vu Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
11930TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vu Optometry Inc Optometrist Past Accepting new patients

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1700918091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18285 COLLIER AVE STE 1F",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925302786",
            "telephone_number": "951-674-5057",
            "fax_number": "951-674-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18285 COLLIER AVE STE 1F",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925302786",
            "telephone_number": "951-674-5057",
            "fax_number": "951-674-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "TUONGVY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11930T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TUONGVY",
            "last_name": "VU",
            "middle_name": "NGO",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; 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.