Michael-Vu DO, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002865 Issued in GA

Practice address

101 Market Place Blvd Ste B
Cartersville, GA 30121-2236

Phone

(470) 490-8172

Fax

(770) 607-5181

NPI assigned

May 14, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adairsville Eye Associates LLCGroup PAC ID 6901297720, 3 clinicians

Hester Eye Associates PCGroup PAC ID 2961490933, 2 clinicians

Georgia Vision Professionals LLCGroup PAC ID 8628486172, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Georgia Vision Professionals LLC

  • Optometrist
  • Woodstock, GA
  • NPI 1801471826
  Medicare reassignment Care Compare group NPD Authorized official
• Adairsville Eye Associates LLC

  • Optometrist
  • Adairsville, GA
  • NPI 1538823315
  Medicare reassignment Care Compare group NPD
• Hester Eye Associates, PC

  • Optometrist
  • Kennesaw, GA
  • NPI 1073717278
  Medicare reassignment Care Compare group NPD
• Gilbert M. James, OD Inc

  • Optometrist
  • Adairsville, GA
  • NPI 1699968719
  NPD
• Lawrenceville Eyecare LLC

  • Optometrist
  • Lawrenceville, GA
  • NPI 1578381604
  NPD
• Tonge Vision Group, P.C.

  • Optometrist
  • Lawrenceville, GA
  • NPI 1184792244
  NPD (past)

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1922419738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MARKET PLACE BLVD STE B",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301212236",
            "telephone_number": "561-313-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MARKET PLACE BLVD STE B",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301212236",
            "telephone_number": "470-490-8172",
            "fax_number": "770-607-5181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6435 Bells Ferry Rd",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301892317",
            "country_code": "US",
            "telephone_number": "770-926-4810",
            "fax_number": "770-926-4826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DO",
        "first_name": "MICHAEL-VU",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "6276",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manda Moore Deville, PHARM.D. R.PH
• Nithin Devireddy, MD
• Karima Dhanani
• Diabetes and Endocrine Specialists LLC
• Douglas C Diruggiero Jr., PAC
• Andrea E Dobosz, OTR/L
• Aj Doh, RD, LD
• Paul Dominique, D.M.D.
• Isabelle Dominy, OTR/L
• Donald C. Evans, M.D., P.C.

• Optometrist in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.
• 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.

Verify at the official NPI Registry.