DR. TAN DUY VU (OD) – Optometrist, NPI 1780638726

DR. TAN DUY VU (OD) is a healthcare provider. based in Wildomar, California. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 12670T (CA). The NPI Number for DR. TAN DUY VU (OD) is 1780638726

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. TAN DUY VU (OD)
NPI
1780638726
Phone
(951) 678-7690
Address
34859 FREDRICK STREET
Enumeration Date
22 May 2006
Last Update Date
1 December 2008

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
9516787690
Graduation Year
2004 (22 years ago)
PAC ID
6103843925
Professional Enrollment ID
I20051031000555
Address ID
CA925957007WI34859STXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,909 OPTOMETRY in CA

Provider Addresses for DR. TAN DUY VU (OD)

  • 34859 FREDRICK STREET

    SUITE 109

    WILDOMAR, CA 925957007

    Phone: (951) 678-7690

    Fax: (951) 837-4816

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2023-06-05 • Largest payer in this snapshot: Optos, Inc. ($28).

Total Amount

$47

General + Research + Ownership

Payments

2

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-10-31

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
I20051031000555IOptometryCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92595)

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Reviews

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Frequently asked questions

What number should I use to identify DR. TAN DUY VU (OD) for billing?
Administrative and clinical systems typically use NPI 1780638726 for DR. TAN DUY VU (OD).
Should I treat DR. TAN DUY VU (OD) as an active provider?
Patients and plans typically see DR. TAN DUY VU (OD) as active in the national extract.
How should patients interpret DR. TAN DUY VU (OD)'s specialty?
The extract shows Optometrist for DR. TAN DUY VU (OD). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. TAN DUY VU (OD)?
DR. TAN DUY VU (OD) shows a connection to Wildomar, California in registry-derived data.
Who maintains DR. TAN DUY VU (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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