Organization Active NPI

Duy Vy OD PA

  • Optometrist
  • Orlando, FL
National Provider Identifier
1992028609
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3386 Issued in FL
Legal business name
DUY VY OD PA
Practice address
2933 E Colonial Dr
Orlando, FL 32803-5041
Phone
(407) 894-5441
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Authorized official

Name
Dr. Duy Vy, O.D.NPI 1104952993
Title
President
Phone
(407) 894-5441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC3386 FL Primary

Addresses

Primary practice location

2933 E Colonial Dr
Orlando, FL 32803-5041

Mailing address

2933 E Colonial Dr
Orlando, FL 32803-5041
Phone (407) 894-5441

Other identifiers 1

IdentifierTypeStateIssuer
620743000MedicaidFL

Other names 1

  • Lifetime Eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100614000363 FL Part B Supplier - Clinic/Group Practice 3779613096 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

2933 E Colonial Dr
Orlando, FL 32803
Phone (407) 894-5441

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1992028609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2933 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035041",
            "telephone_number": "407-894-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328035041",
            "telephone_number": "407-894-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUY VY OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "VY",
        "authorized_official_first_name": "DUY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-894-5441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620743000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifetime Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.