Active NPI
Kim Vu, OD
- Optometrist
- Houston, TX
National Provider Identifier
1942752365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8896-TG
- Practice address
- 2401 N Shepherd Dr Ste a-110
Houston, TX 77008-1957 - Phone
- (832) 930-7809
- NPI assigned
- Nov 2, 2016
- Last updated
- Dec 10, 2020
- 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 | 8896-TG | TX | Primary |
Addresses
Primary practice location
2401 N Shepherd Dr Ste a-110
Houston, TX 77008-1957
Mailing address
2401 N Shepherd Dr Ste a-110
Houston, TX 77008-1957
Phone (832) 930-7809
Other practice location 1
2693 Highway 6 S
Houston, TX 77082-1703
Phone (281) 493-1166
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8896 | TX | MD | Behavioral Analyst |
| 8896-TG | TX | MD | Optometrist |
Organizations & group practices 1
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": "1478044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1942752365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 N SHEPHERD DR STE A-110",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770081957",
"telephone_number": "832-930-7809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 N SHEPHERD DR STE A-110",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770081957",
"telephone_number": "832-930-7809"
}
],
"practiceLocations": [
{
"address_1": "2693 Highway 6 S",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770821703",
"country_code": "US",
"telephone_number": "281-493-1166",
"fax_number": "281-493-0043",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VU",
"first_name": "KIM",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-02",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "8896-TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.