Rebecca Bui Van O D Inc

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

112098T Issued in CA

Legal business name

REBECCA BUI VAN O D INC

Practice address

4005 Manzanita Ave Ste 57
Carmichael, CA 95608-1784

Phone

(916) 483-6661

Fax

(916) 514-8637

NPI assigned

Dec 11, 2008

Last updated

Jun 14, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca Bui Van, ODNPI 1245323179

Title

Doctor

Phone

(916) 483-6661

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca D Bui Van, O.D.

  • Optometrist
  • Carmichael, CA
  • NPI 1245323179
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1750526224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 MANZANITA AVE STE 57",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081784",
            "telephone_number": "916-483-6661",
            "fax_number": "916-514-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 MANZANITA AVE STE 57",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081784",
            "telephone_number": "916-483-6661",
            "fax_number": "916-514-8637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA BUI VAN O D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "BUI VAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "916-483-6661",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "112098T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750526224",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Raus, RPH
• Aneela Satya Ravanam
• Alexander Christian Ray, DPT
• Kyndall Dee Raydon
• Myla Rayford
• Thomas John Reda II, M.D.
• Rachel Naima Reddick
• Katie L Rediger, OTR/L
• Karen J Reeves, MFTI
• Nena Pagaduan Regalado, NURSE PRACTITIONER

• Corneal and Contact Management Optometrist in Carmichael, CA
• Providers in Carmichael, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.