Individual provider Active NPI

Muychi Timothy Vang, OD

  • Optometrist
  • Bloomington, MN
National Provider Identifier
1831700798
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3695 Issued in MN
Practice address
304 N Garden
Bloomington, MN 55425-5519
Phone
(952) 858-8410
Fax
(952) 858-8408
NPI assigned
Aug 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3695 MN Primary

Addresses

Primary practice location

304 N Garden
Bloomington, MN 55425-5519

Mailing address

304 N Garden
Bloomington, MN 55425-5519
Phone (952) 858-8410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20200902000359 MN Practitioner - Optometry 1052737962 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Associates of SC LLCGroup PAC ID 4587998802, 63 clinicians

Practice addresses (Care Compare)

13855 Round Lake Blvd NW
Andover, MN 55304-3664
Phone (763) 421-0141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pham-Vang Optometry LLC Optometrist CurrentSince Aug 24, 2020 Accepting new patients
Eye Care Associates of SC LLC Optometrist CurrentSince Nov 29, 2022 Accepting new patients

Locations

13855 Round Lake Blvd NW
Andover, MN 55304
Phone (763) 421-0141

6487 Cedar Hills Dr
Cannon Falls, MN 55009
Phone (507) 263-3949

11217 Commerce Dr N
Champlin, MN 55316
Phone (763) 427-5474

7074 Brooklyn Blvd
Minneapolis, MN 55429
Phone (763) 316-4193

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": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1831700798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N GARDEN",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554255519",
            "telephone_number": "952-858-8410",
            "fax_number": "952-858-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N GARDEN",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554255519",
            "telephone_number": "952-858-8410",
            "fax_number": "952-858-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG",
        "first_name": "MUYCHI",
        "middle_name": "TIMOTHY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.