Son Van Vu, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000281 Issued in PA

Practice address

2 Meridian Blvd
Wyomissing, PA 19610-3202

Phone

(610) 396-1210

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1780747493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 JOSEPHS WAY",
            "city": "SHILLINGTON",
            "state": "PA",
            "postal_code": "196072384",
            "telephone_number": "610-796-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MERIDIAN BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103202",
            "telephone_number": "610-396-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "SON",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Andrew Viskovich, M.S.
• Kathleen D. Vivaldi, AU.D., FAAA
• Brooke Voda
• Naomi Volo
• Son Vu, MD
• Shivani Vyas, D.O.
• Jerome Wachter
• Beth Ann Wagner, CRNP
• Denise K Wagner, D.P.T
• Jaimi Wagner

• Optometrist in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.