Individual provider Active NPI

Diem My Thi Bui, OD

  • Optometrist
  • Morrow, GA
National Provider Identifier
1801449350
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003175 Issued in GA
Practice address
1000 Corporate Center Dr Ste 100
Morrow, GA 30260-4106
Phone
(770) 968-8888
NPI assigned
Jul 23, 2019
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003175 GA Primary

Addresses

Primary practice location

1000 Corporate Center Dr Ste 100
Morrow, GA 30260-4106

Mailing address

1000 Corporate Center Dr Ste 100
Morrow, GA 30260-4128
Phone (770) 968-8888

Other practice location 1

620A S 8th St
Griffin, GA 30224-4214
Phone (770) 968-8888

Other practice location 2

500 Plaza Pkwy
McDonough, GA 30253-6146
Phone (770) 968-8888

Other practice location 3

2700 Highway 34 E
Newnan, GA 30265-2315
Phone (770) 968-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20190827002362 GA Practitioner - Optometry 8820326960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Centers Management, IncGroup PAC ID 5092701342, 13 clinicians

Practice addresses (Care Compare)

1000 Corporate Ctr Dr
Suite 100
Morrow, GA 30260-4106
Phone (770) 968-8888

Merit-based Incentive Payment System (MIPS)

Final score
93.51 of 100Reported as group
Quality
99.1
Improvement activities
40
Cost
79.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003175GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Centers Management Inc Optometrist CurrentSince Jul 1, 2019 Accepting new patients
Eye Care Centers Management Inc Optometrist PastSince Jul 1, 2019 Accepting new patients

Locations

620 S 8th St
#A
Griffin, GA 30224
Phone (770) 968-8888

500 Plaza Pkwy
McDonough, GA 30253
Phone (770) 968-8888

1000 Corporate Center Dr
Ste 100
Morrow, GA 30260
Phone (770) 968-8888

60 Oak Hill Blvd
Newnan, GA 30265
Phone (770) 683-8637

500 Ross St
Pittsburgh, PA 15262
Phone (844) 362-6808

Organizations & group practices 2

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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1801449350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE CENTER DR STE 100",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302604128",
            "telephone_number": "770-968-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE CENTER DR STE 100",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302604106",
            "telephone_number": "770-968-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620A S 8th St",
            "address_purpose": "LOCATION",
            "city": "Griffin",
            "state": "GA",
            "postal_code": "302244214",
            "country_code": "US",
            "telephone_number": "770-968-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Plaza Pkwy",
            "address_purpose": "LOCATION",
            "city": "McDonough",
            "state": "GA",
            "postal_code": "302536146",
            "country_code": "US",
            "telephone_number": "770-968-8888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Highway 34 E",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302652315",
            "country_code": "US",
            "telephone_number": "770-968-8888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUI",
        "first_name": "DIEM MY",
        "middle_name": "THI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, GA

Sources for this page

Verify at the official NPI Registry.