Individual provider Active NPI

Thu-Thuy Vo, O.D.

  • Optometrist
  • Lake Stevens, WA
National Provider Identifier
1710274972
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60235371 Issued in WA
Practice address
515 Sr 9 Ste 104
Lake Stevens, WA 98258-8523
Phone
(425) 334-4016
Fax
(425) 334-4017
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60235371 WA Primary

Addresses

Primary practice location

515 Sr 9 Ste 104
Lake Stevens, WA 98258-8523

Mailing address

515 Sr 9
Ste 104
Lake Stevens, WA 98258-8523
Phone (425) 334-4016

Other practice location 1

16441 NE 74th St Ste E150
Redmond, WA 98052-7801
Phone (425) 882-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20130319000128 WA Practitioner - Optometry 0345485504

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

515 Sr
9 Suite 104
Lake Stevens, WA 98258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD60235371WAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Plus Stanwood, PLLC Optometrist PastSince Apr 13, 2012 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": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710274972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 SR 9",
            "address_2": "STE 104",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588523",
            "telephone_number": "425-334-4016",
            "fax_number": "425-334-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 SR 9 STE 104",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588523",
            "telephone_number": "425-334-4016",
            "fax_number": "425-334-4017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16441 NE 74th St Ste E150",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980527801",
            "country_code": "US",
            "telephone_number": "425-882-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VO",
        "first_name": "THU-THUY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60235371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

Verify at the official NPI Registry.