Active NPI
Kim Nguyen, OD
- Optometrist
- Marrero, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2012-958AT
- Practice address
- 5572 Avery Dr
Marrero, LA 70072-5138 - Phone
- (504) 214-1627
- NPI assigned
- Sep 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S-F05-TA-C64 | AL | |
| Optometrist | 152W00000X | 009630 | NY | |
| Optometrist | 152W00000X | 2012-958AT | LA | Primary |
Addresses
Primary practice location
5572 Avery Dr
Marrero, LA 70072-5138
Mailing address
1111 Medical Center Blvd
Marrero, LA 70072-3151
Phone (504) 347-6330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230228001710 | AL | Practitioner - Optometry | 5395118004 | Reassigns benefits to 1 organization |
| I20240724000616 | LA | Practitioner - Optometry | 5395118004 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Heitmeier Physicians OpticalHeitmeier and Armani Medical and Surgical Eyecare LLC
Practice addresses (Care Compare)
1111 Medical Ctr Blvd
Suite 111
Marrero, LA 70072-3257
Phone (504) 347-6330
3501 Holiday Dr
Suite 201
New Orleans, LA 70114-8250
Phone (504) 368-7081
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-F05-TA-C64 | AL | MD | Optometrist |
| 2012-958AT | LA | MD | Optometrist |
| 009630 | NY | MD | Optometrist |
Practice roles (4 of 21)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin Primary Health Center, Inc | Current | Accepting new patients | |
| Heitmeier & Armani Medical & Surgical Eyecare LLC | Optometrist | Current | Accepting new patients |
| Heitmeier Physicians Optical | Optometrist | Current | Accepting new patients |
| Franklin Primary Health Center Inc. | Optometrist | Current | Accepting new patients |
Locations
1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646
1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603
1111 Medical Center Blvd
Ste N111
Marrero, LA 70072
1111 Medical Center Blvd
Ste 111
Marrero, LA 70072
Phone (504) 347-6330
3501 Holiday Dr
Ste 201
New Orleans, LA 70114
Phone (504) 293-3333
Networks
- FL HMO D-SNP
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- TX HMO D-SNP
- MS PPO
- LA PPO C-SNP
- MS PPO C-SNP
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- MS PPO D-SNP
- FL PPO
- AL HMO
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- AL HMO D-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- TX HMO
- TN PPO
- TN PPO C-SNP
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- New Orleans, LA
- NPI 1578649141
LA, Optometrist
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1679532303
AL, Optometrist
-
- Federally Qualified Health Center (FQHC)
- Evergreen, AL
- NPI 1346733821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1003536749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER BLVD",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723151",
"telephone_number": "504-347-6330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5572 AVERY DR",
"city": "MARRERO",
"state": "LA",
"postal_code": "700725138",
"telephone_number": "504-214-1627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KIM",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-01",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-F05-TA-C64",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "009630",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "2012-958AT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.