MEDICARE: DR. CUONG BUI OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	0001667	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871539098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CUONG BUI OD

Provider Business Mailing Address
First Line	:	1068 S FEDERAL BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80219-4102
Country	:	US
Telephone Number	:	303-922-2311
Fax Number	:

Provider Business Practice Location Address
First Line	:	1068 S FEDERAL BLVD
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80219-4102
Country	:	US
Telephone Number	:	303-922-2311
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	04/07/2026

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Directions to “ DR. CUONG BUI OD” Practice Location

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