Individual provider Active NPI

Anthony Vu, O.D.

  • Optometrist
  • Largo, FL
National Provider Identifier
1972868818
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5326 Issued in FL
Practice address
13002 Seminole Blvd
Largo, FL 33778-2125
Phone
(727) 333-4100
NPI assigned
Jul 6, 2012
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7983 TX
Optometrist 152W00000X 5326 FL Primary

Addresses

Primary practice location

13002 Seminole Blvd
Largo, FL 33778-2125

Mailing address

9680 62ND Ave N
St Petersburg, FL 33708-3508

Other practice location 1

12700 Hill Country Galleria Blvd Ste. S110
Bee Cave, TX 78738-8115
Phone (512) 263-0020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170712002386 FL Practitioner - Optometry 7517116569 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7983TXMDProsthodontist
5326FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Jul 22, 2017 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jun 1, 2017 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jun 1, 2017 Accepting new patients
National Vision, Inc. Past Accepting new patients
Optometric Associates of Texas P.a. Optometrist PastSince Oct 16, 2022 Accepting new patients
National Vision, Inc. Past Accepting new patients
Aeshya LLC Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

13002 Seminole Blvd
Seminole, FL 33778
Phone (727) 333-4100

2109 66th St N
St Petersburg, FL 33710
Phone (727) 342-5226

3520 4th St N
St Petersburg, FL 33704
Phone (727) 369-0043

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

Organizations & group practices 7

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": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1972868818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9680 62ND AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13002 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337782125",
            "telephone_number": "727-333-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12700 Hill Country Galleria Blvd Ste. S110",
            "address_purpose": "LOCATION",
            "city": "Bee Cave",
            "state": "TX",
            "postal_code": "787388115",
            "country_code": "US",
            "telephone_number": "512-263-0020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VU",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7983",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "5326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.