Individual provider Active NPI

Victor CHI Vuong, O.D.

  • Optometrist
  • Albany, NY
National Provider Identifier
1750730925
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV008404-1 Issued in NY
Practice address
65 Wolf Rd Ste 106
Albany, NY 12205-2621
Phone
(518) 463-1707
Fax
(518) 949-2499
NPI assigned
Jun 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 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 TUV008404-1 NY Primary

Addresses

Primary practice location

65 Wolf Rd Ste 106
Albany, NY 12205-2621

Mailing address

65 Wolf Rd Ste 106
Albany, NY 12205-2621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160808001615 NY Practitioner - Optometry 1557655933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Optometry Downtown PCGroup PAC ID 4587737689, 2 clinicians

Practice addresses (Care Compare)

65 Wolf Rd
Suite 106
Albany, NY 12205-2621
Phone (518) 463-1707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008404NYMDMental Health Counselor
TUV008404-1NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Schenectady Family Health Services, Inc. CurrentSince Dec 18, 2016 Accepting new patients
Professional Optometry Downtown, PC Optometrist CurrentSince Jun 28, 2016 Accepting new patients
Schenectady Family Health Services, Inc. CurrentSince Dec 18, 2016 Accepting new patients

Locations

99 Pine St
Albany, NY 12207
Phone (518) 463-1707

65 Wolf Rd
Ste 106
Albany, NY 12205
Phone (518) 463-1707

1044 State St
Schenectady, NY 12307
Phone (518) 370-1441

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1750730925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WOLF RD STE 106",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122052621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 WOLF RD STE 106",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122052621",
            "telephone_number": "518-463-1707",
            "fax_number": "518-949-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUONG",
        "first_name": "VICTOR",
        "middle_name": "CHI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-08",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008404-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.