Individual provider Active NPI

Tony Duy Vu, O.D.

  • Optometrist
  • Fountain Valley, CA
National Provider Identifier
1942221346
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11285TPL Issued in CA
Practice address
18430 Brookhurst St Ste 100
Fountain Valley, CA 92708-6726
Phone
(714) 968-9121
Fax
(714) 962-6521
NPI assigned
Jul 21, 2006
Last updated
Dec 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11285TPL CA Primary

Addresses

Primary practice location

18430 Brookhurst St Ste 100
Fountain Valley, CA 92708-6726

Mailing address

18430 Brookhurst St Ste 100
Fountain Valley, CA 92708-6726
Phone (714) 968-9121

Other identifiers 1

IdentifierTypeStateIssuer
WOP11285AMedicaidCA

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
I20070309000297 CA Practitioner - Optometry 3173626256 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tony D Vu OD IncGroup PAC ID 0547301624, 2 clinicians

Practice addresses (Care Compare)

18430 Brookhurst St
Suite 100
Fountain Valley, CA 92708-6726
Phone (714) 968-9121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11285TPLCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tony D. Vu, O.D., Inc Optometrist CurrentSince Oct 19, 2009 Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc. Optometrist Past Accepting new patients
Hannah Cho Optometry 3, Inc PastSince Mar 16, 2021 Accepting new patients

Locations

18120 Brookhurst St
Ste 19
Fountain Vly, CA 92708
Phone (714) 963-8349

18430 Brookhurst St
Ste 100
Fountain Vly, CA 92708
Phone (714) 968-9121

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, 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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1942221346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18430 BROOKHURST ST STE 100",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086726",
            "telephone_number": "714-968-9121",
            "fax_number": "714-962-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18430 BROOKHURST ST STE 100",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086726",
            "telephone_number": "714-968-9121",
            "fax_number": "714-962-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "TONY",
        "middle_name": "DUY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11285TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "WOP11285A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.