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Deactivated NPI 1083179600 Deactivated / Inactive NPI Male Practitioner

Dr. Joseph Khang Vu , OD

Optometrist • Bedford, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Joseph Vu has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 07, 2019
NPI Deactivation Date January 07, 2025
Total Practice Duration ~6 Years of Practice (2019 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Vu, OD was a registered Optometrist practicing in Bedford, TX. Throughout an active medical career spanning 6 years, Dr. Vu provided care at the practice location at 4101 HIGHWAY 121 STE 100 until profile deactivation on 2025-01-07.

Practice Location & Contact Primary Location

Practice Address

4101 Highway 121 Ste 100

Bedford, TX 760213053

Telephone 8174943049
Fax 8177257030
Associated Practice Facility / Clinic
🏢 Provectus Family Eyecare Pllc Facility NPI 1770392342

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Bedford, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.5 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
8 Specialists

Practicing in Bedford, TX (5156 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-28
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License TX 9629

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
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Updated Practice Location February 28, 2026

Registered at 4101 HIGHWAY 121 STE 100, BEDFORD, TX 760213053 (Tel: 8174943049)

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Updated Business Mailing Address February 28, 2026

Registered at 4101 HIGHWAY 121 STE 100, BEDFORD, TX 760213053 (Tel: 8174943049)

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Updated Practice Location January 13, 2025

Registered at 4800 S HULEN ST STE 147, FORT WORTH, TX 761321415 (Tel: 8177698566)

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Updated Business Mailing Address January 13, 2025

Registered at 4800 S HULEN ST STE 147, FORT WORTH, TX 761321415 (Tel: 8177698566)

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Provider Name / Credentials Updated January 13, 2025

Recorded as JOSEPH VU, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2025

Optometrist (License #9629 in TX)

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NPI Profile Deactivated January 07, 2025

Record deactivated on January 07, 2025

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Updated Practice Location September 30, 2020

Registered at 4800 S HULEN ST STE 147, FORT WORTH, TX 761321415 (Tel: 8177698566)

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Updated Business Mailing Address September 30, 2020

Registered at 4800 S HULEN ST STE 147, FORT WORTH, TX 761321415 (Tel: 8177698566)

NPI Profile Active February 07, 2019

NPI status registered as active in NPPES database

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Updated Practice Location February 07, 2019

Registered at 6155 EASTEX FWY STE 699, BEAUMONT, TX 777066701 (Tel: 4098928044)

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Updated Business Mailing Address February 07, 2019

Registered at 6155 EASTEX FWY STE 699, BEAUMONT, TX 777066701 (Tel: 4692370805)

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Provider Name / Credentials Updated February 07, 2019

Recorded as JOSEPH VU, OD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2019

Optometrist (License #9629 in TX)

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Initial NPI Registration & Enumeration February 07, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083179600
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2019
Last Update: February 28, 2026
Deactivation Date: January 07, 2025
Sole Proprietor: Yes

Mailing Address

4101 Highway 121 Ste 100

Bedford, TX 760213053

Phone: 8174943049

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.