Jessica Vuong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

60687025 Issued in WA

Practice address

23535 NE Novelty Hill Rd # D302
Redmond, WA 98053-5502

Phone

(425) 898-9222

Fax

(425) 898-9225

NPI assigned

Oct 21, 2016

Sex

Female

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

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kirkland Vision Center, LLC

  • Optometrist
  • Kirkland, WA
  • NPI 1578999215
  Medicare reassignment NPD
• Vanessa Michel PLLC

  • Optometrist
  • Redmond, WA
  • NPI 1437480456
  Medicare reassignment NPD
• Aeg Washington Professional PC

  • Optometrist
  • Bellevue, WA
  • NPI 1134835176
  NPD (past)

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1821549072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18109 33RD AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374840",
            "telephone_number": "425-697-1077",
            "fax_number": "425-697-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23535 NE NOVELTY HILL RD # D302",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980535502",
            "telephone_number": "425-898-9222",
            "fax_number": "425-898-9225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 184th St SW",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980374718",
            "country_code": "US",
            "telephone_number": "425-776-8234",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13112 NE 70th Pl",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980338571",
            "country_code": "US",
            "telephone_number": "425-822-8253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "718 8th Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981043006",
            "country_code": "US",
            "telephone_number": "206-788-3507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18109 33rd Ave W",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980374840",
            "country_code": "US",
            "telephone_number": "425-697-1077",
            "fax_number": "425-697-1078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VUONG",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "60687025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spomenka Vitman, MA
• Kim Vo
• Jessica Vornbrock, MSW
• Howard Joseph Vossen
• Thakou Vu
• Matthew Harrison Wade, MS, RDN, CSCS
• Jarrod Wadwa, PHARMD
• Lauren Shalane Wagendorf, LMHC, LPCC
• Sharon T Wagener Dewolf, DC
• Rasena Wager

• Optometrist in Redmond, WA
• Providers in Redmond, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.