DR. THU VAN (O.D.) – Optometrist, NPI 1356532709

DR. THU VAN (O.D.) is a healthcare provider. based in Malvern, Arkansas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2587 (AR). The NPI Number for DR. THU VAN (O.D.) is 1356532709

Main info

Female
Sole Proprietor
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. THU VAN (O.D.)
NPI
1356532709
Phone
(501) 332-7558
Address
1910 MARTIN LUTHER KING BLVD
Enumeration Date
9 August 2007
Last Update Date
17 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2007 (19 years ago)
PAC ID
8022192103
Professional Enrollment ID
I20080227000819
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

422 OPTOMETRY in AR

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Provider Addresses for DR. THU VAN (O.D.)

  • Walmart Supercenter, 1910, Martin Luther King Boulevard, Malvern, Hot Spring County, Arkansas, 72104, United States

    MALVERN, AR 721042203

    Phone: (501) 332-7558

    Type: Mailing

  • 1910 Martin Luther King Blvd

    Malvern, AR 721042203

    Phone: (501) 332-7558

    Type: Location

  • 7420 PALM BEACH AVE

    BENTON, AR 720192023

    Phone: (501) 329-2020

    Type: Mailing

  • 1155 SKYLINE DR

    CONWAY, AR 720322857

    Phone: (501) 329-2020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080227000819IOptometryARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system9190$0
92004New patient complete exam of visual system6868$0
View full utilization report →

Insurance plans in this area (ZIP 72104)

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Reviews

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Frequently asked questions

Is there an official ID for DR. THU VAN (O.D.) in U.S. healthcare records?
The official identifier for DR. THU VAN (O.D.) is NPI 1356532709.
Is DR. THU VAN (O.D.) still an active registrant?
DR. THU VAN (O.D.) carries an active NPI according to the public dataset.
What kind of doctor is DR. THU VAN (O.D.)?
DR. THU VAN (O.D.) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. THU VAN (O.D.)?
Directory geography for DR. THU VAN (O.D.) centers on Malvern, Arkansas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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