Physician Compare National (NPI:1649504523)

HEALTHCARE PROVIDER: LAUREL VUONG M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1649504523
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3870735731
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140818001334
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VUONG
	Individual professional last name
Provider First Name	LAUREL
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	TUFTS UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2009
	Individual professional's medical school graduation year
Primary Specialty	OPHTHALMOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PRATT OPHTHALMOLOGY ASSOCIATES, INC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	8628960218
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	53
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	11 NEVINS ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 205
	Group Practice or individual's line 2 address
City	BRIGHTON
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	021353514
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6177835050
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	220116
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	TUFTS MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y