Individual provider Active NPI

Amy L Vo, O.D.

  • Optometrist
  • Garden Grove, CA
National Provider Identifier
1750472254
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13237T Issued in CA
Practice address
9520 Garden Grove Blvd
Ste 5
Garden Grove, CA 92844-1528
Phone
(714) 530-2557
Fax
(714) 530-4273
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13237T CA Primary
Optometrist 152W00000X TUV006898 NY

Addresses

Primary practice location

9520 Garden Grove Blvd
Ste 5
Garden Grove, CA 92844-1528

Mailing address

9520 Garden Grove Blvd
Ste 5
Garden Grove, CA 92844-1528
Phone (714) 530-2557

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
13237TCAMDOptometrist
TUV006898NYMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1750472254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 GARDEN GROVE BLVD",
            "address_2": "STE 5",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441528",
            "telephone_number": "714-530-2557",
            "fax_number": "714-530-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 GARDEN GROVE BLVD",
            "address_2": "STE 5",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441528",
            "telephone_number": "714-530-2557",
            "fax_number": "714-530-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13237T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006898",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.