Individual provider Active NPI

Quynh Dao Vu, O.D.

  • Optometrist
  • Austin, TX
National Provider Identifier
1811032584
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5792T Issued in TX
Practice address
1030 Norwood Park Blvd
#A
Austin, TX 78753-6600
Phone
(512) 977-9707
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5792T TX Primary

Addresses

Primary practice location

1030 Norwood Park Blvd
#A
Austin, TX 78753-6600

Mailing address

7916 Cahill Dr
Austin, TX 78729-6439
Phone (512) 401-9642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130806000344 TX Practitioner - Optometry 1951543875 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5792TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Family Vision Optometrist CurrentSince May 15, 2013 Accepting new patients

Locations

1030 Norwood Park Blvd
Ste A
Austin, TX 78753
Phone (512) 491-9707

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811032584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 CAHILL DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787296439",
            "telephone_number": "512-401-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 NORWOOD PARK BLVD",
            "address_2": "#A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787536600",
            "telephone_number": "512-977-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "QUYNH",
        "middle_name": "DAO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5792T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.