Individual provider Active NPI

Kim Vu, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1942752365
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8896-TG Issued in TX
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191230000886 TX Practitioner - Optometry 7113351131 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8896TXMDBehavioral Analyst
8896-TGTXMDOptometrist

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

Verify at the official NPI Registry.