Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tina Diem Vuong

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1053109983

Tina Diem Vuong is an Optometry in Forest Grove, Oregon. Graduated from Pacific University - College of Optometry in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Oregon.

Years since qualifying
1
Trained at
Pacific University - College of Optometry
Licensed in
OR
In the registry since
2025
Specialties on file
2

Practice location Address checks out

2043 College Way
Forest Grove, OR 97116-1797
Phone: (503) 352-6151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ATI4792 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053109983
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 29, 2025
Last updated in NPPESAugust 16, 2025
Certification dateAugust 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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