Individual provider Active NPI

Amy Thi Vu, O.D.

  • Optometrist
  • Laguna Niguel, CA
National Provider Identifier
1831242288
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12383 Issued in CA
Practice address
27270 Alicia Pkwy Ste D
Laguna Niguel, CA 92677-3413
Phone
(949) 448-7464
Fax
(949) 448-7469
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12383 CA Primary

Addresses

Primary practice location

27270 Alicia Pkwy Ste D
Laguna Niguel, CA 92677-3413

Mailing address

27270 Alicia Pkwy Ste D
Laguna Niguel, CA 92677-3413
Phone (949) 448-7464

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090106000657 CA Practitioner - Optometry 2264595040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amy Thi Vu OD Inc a Professional CorporationGroup PAC ID 6406919182, 2 clinicians

Practice addresses (Care Compare)

27270 Alicia Pkwy
Suite D
Laguna Niguel, CA 92677-3413
Phone (949) 448-7464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12383CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amy Thi Vu OD Inc a Professional Corporation CurrentSince Sep 20, 2008 Accepting new patients
Thomas S Tooma M D a Professional Corporation Optometrist PastSince Mar 12, 2023 Accepting new patients

Locations

27270 Alicia Pkwy
Ste D
Laguna Niguel, CA 92677
Phone (949) 448-7464

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1831242288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27270 ALICIA PKWY STE D",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773413",
            "telephone_number": "949-448-7464",
            "fax_number": "949-448-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27270 ALICIA PKWY STE D",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773413",
            "telephone_number": "949-448-7464",
            "fax_number": "949-448-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "AMY",
        "middle_name": "THI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.