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THU VAN OD PA
NPI 1154740686
Optometrist in Conway, AR

Active since April 11, 2014
1155 SKYLINE DR, CONWAY, AR 72032(501) 329-2020(501) 329-2021 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thu Van Od Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THU VAN OD PA (NPI 1154740686) is a healthcare organization registered as an optometrist in Conway, Arkansas and active in the NPI registry since April 2014. The organization maintains a secondary practice location in Malvern and lists Justin Dang, Manager, as its authorized official.

NPPES Registry Identity

NPI1154740686
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameTHU VAN OD PA
Location Address1155 SKYLINE DRConway, AR 72032-2857
Mailing Address7420 Palm Beach AveBenton, AR 72019-2023
Phone(501) 329-2020
Fax(501) 329-2021
Organization SubpartNo
Authorized OfficialJustin DangManager · (501) 329-2020
Enumeration DateApril 11, 2014
Last NPPES UpdateAugust 26, 2026
NPPES CertifiedAugust 26, 2026
✔ NPI 1154740686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AR · 2587
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1155 SKYLINE DR, Conway, AR 72032
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Secondary Practice Location 1

Location 11910 Martin Luther King BlvdMalvern, AR 72104-2203 · Phone (501) 332-7558 · Fax (501) 332-7221

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thu Van Od Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Thu Van Od PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Thu Van, O.D.
Optometry
NPI 1356532709
1155 SKYLINE DR
Conway, AR 72032
(501) 329-2020
✔ PECOS✔ Accepts MedicareSame address
Gregory Ramer, O.D.
Optometry
NPI 1821345562
1629 AIRPORT RD STE C
Hot Springs, AR 71913
(501) 767-0602
✔ PECOS✔ Accepts Medicare60 mi
Raymond Carozza, O.D.
Optometry
NPI 1316959596
2915 CYPRESS RD SUITE B
Arkadelphia, AR 71923
(870) 246-5090
✔ PECOS✔ Accepts Medicare77 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thu Van Od PA's NPI number?

The NPI number for Thu Van Od PA is 1154740686. It was assigned to this organization in the NPPES registry on April 11, 2014.

Where is Thu Van Od PA located?

Thu Van Od PA is located at 1155 Skyline Dr, Conway, AR 72032. The listed phone number is (501) 329-2020.

What is Thu Van Od PA's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Thu Van Od PA enrolled in Medicare?

Yes. Thu Van Od PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Thu Van Od PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Thu Van Od PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Thu Van Od PA accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Thu Van Od PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Thu Van Od PA was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.