Active NPI
John Bui, OD
- Optometrist
- New York, NY
National Provider Identifier
1821614140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TUV009247
- Practice address
- 33 W 42ND St
New York, NY 10036-8005 - Phone
- (408) 239-9446
- NPI assigned
- Jun 23, 2020
- Last updated
- Oct 7, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | TUV009247 | NY | Primary |
Addresses
Primary practice location
33 W 42ND St
New York, NY 10036-8005
Mailing address
443 Chilberg CT
San Jose, CA 95133-2321
Phone (408) 239-9446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TUV009247 | NY | MD | Optometrist |
| 34780 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Khanh Bui, O.D., P.C. | Optometrist | Current | Accepting new patients |
Locations
1013 E Capitol Expy
San Jose, CA 95121
Phone (408) 281-1311
Interoperability endpoints
- john.bui.p1@direct.opt.nextgenshare.com
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, 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": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1821614140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "443 CHILBERG CT",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951332321",
"telephone_number": "408-239-9446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 W 42ND ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100368005",
"telephone_number": "408-239-9446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUI",
"first_name": "JOHN",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-23",
"last_updated": "2020-10-07",
"certification_date": "2020-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "TUV009247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.