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DR. ANTOINETTE LAM VU OD
NPI 1720602345
Optometrist in Fontana, CA

Active since May 29, 2020PECOS Enrolled
17064 SLOVER AVE STE 104, FONTANA, CA 92337(909) 258-4620(909) 258-4625 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2025, Jun 19, 2020, May 29, 2020 (3 updates tracked since 2020).

About Dr. Antoinette Lam Vu Od NPPES

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

DR. ANTOINETTE LAM VU OD (NPI 1720602345) is an individual optometrist in Fontana, California, licensed in California (34524TLG) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720602345
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ANTOINETTE LAM VUCredential: OD
Location Address17064 SLOVER AVE STE 104Fontana, CA 92337-7592
Mailing Address7983 Windchime StChino, CA 91708-7619 · (626) 485-2499
Phone(909) 258-4620
Fax(909) 258-4625
Sole ProprietorYes
Enumeration DateMay 29, 2020
Last NPPES UpdateJanuary 2, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
✔ NPI 1720602345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 34524TLG
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
17064 SLOVER AVE STE 104, Fontana, CA 92337
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Antoinette Lam Vu Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92337 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VISIONARY RETAIL MANAGEMENT CA INC
Eyewear Supplier
17064 SLOVER AVE STE 104
FONTANA, CA 92337
San Bernardino County (909) 258-4380
TEDDER OPTOMETRIC CLINIC MANAGEMENT, P.C.
Optometrist
17064 SLOVER AVE STE 104
FONTANA, CA 92337
San Bernardino County (909) 258-4620
AUSTIN JOSEPH HIRMIZ OD
Optometrist
17064 SLOVER AVE STE 104
FONTANA, CA 92337
San Bernardino County (909) 258-4620

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 Antoinette Vu's NPI number?

The NPI number for Antoinette Vu is 1720602345. It was assigned to this individual provider in the NPPES registry on May 29, 2020.

Where is Antoinette Vu located?

Antoinette Vu practices at 17064 Slover Ave Ste 104, Fontana, CA 92337. The listed phone number is (909) 258-4620.

What is Antoinette Vu's specialty?

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

Is Antoinette Vu enrolled in Medicare?

Yes. Antoinette Vu is registered in the Medicare PECOS enrollment system.

What insurance does Antoinette Vu accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Antoinette Vu 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 Antoinette Vu was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.