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Thu Van Od PA

NPI 1154740686ActiveOrganization· Optometrist· Conway, AR

Optometrist in Conway, Arkansas, registered in NPPES in April 2014. The authorized official on file is Justin Dang, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1154740686
StatusActive
Entity typeOrganization
NPI issuedApr 11, 2014
Last updated in NPPESAug 26, 2026
Certified by providerAug 26, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X2587AR

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (AR)

Medicare sources and data years

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