Active NPI
Jessica Ngoc Vu, OD
- Optometrist
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34852
- Practice address
- 20 W Shaw Ave
Fresno, CA 93704-2816 - Phone
- (559) 222-0220
- NPI assigned
- Jul 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 34852 | CA | Primary |
Addresses
Primary practice location
20 W Shaw Ave
Fresno, CA 93704-2816
Mailing address
9221 Houston Ave
Anaheim, CA 92801-1411
Phone (714) 473-4857
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34852 | Other | CA | STATE BOARD OF OPTOMETRY |
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1039 El Monte Ave
Suite K
Mountain View, CA 94040-2371
Phone (650) 967-0140
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34852 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brent P. Chinn, OD and David M. Redman, OD, Optometric Group, Inc | Optometrist | Current | Accepting new patients |
| Fyidoctors of California, Inc. | Optometrist | Current | Accepting new patients |
| North Lake Eyecare Optometry | Optometrist | Past | Accepting new patients |
Locations
1039 El Monte Ave
Ste K
Mountain View, CA 94040
Phone (650) 967-0140
114 N Sunrise Ave
Ste C4
Roseville, CA 95661
Phone (916) 786-2212
117 Bernal Rd
Ste 40
San Jose, CA 95119
Phone (408) 362-9789
Organizations & group practices 3
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.
-
- Optometrist
- Roseville, CA
- NPI 1437718418
-
- Optometrist
- Mountain View, CA
- NPI 1538497540
-
- Optometrist
- Tahoe City, CA
- NPI 1447580360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626912000000",
"number": "1861065260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9221 HOUSTON AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928011411",
"telephone_number": "714-473-4857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W SHAW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937042816",
"telephone_number": "559-222-0220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "JESSICA",
"middle_name": "NGOC",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-22",
"last_updated": "2021-07-22",
"certification_date": "2021-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34852",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF OPTOMETRY",
"identifier": "34852",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.