Individual provider Active NPI

Heather Yvonne Nguyen, O.D.

  • Optometrist
  • Cedar Rapids, IA
National Provider Identifier
1013033075
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2502 Issued in IA
Practice address
576 Boyson Rd NE Ste 104
Cedar Rapids, IA 52402-7363
Phone
(319) 373-3737
Fax
(319) 365-9500
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2502 IA Primary

Addresses

Primary practice location

576 Boyson Rd NE Ste 104
Cedar Rapids, IA 52402-7363

Mailing address

210 27TH Street Dr SE
Cedar Rapids, IA 52403-1632
Phone (785) 550-1270

Other practice location 1

2600 Edgewood Rd SW
Suite 376
Cedar Rapids, IA 52404-7818
Phone (319) 390-4144

Other identifiers 1

IdentifierTypeStateIssuer
1013033075MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101029000193 IA Practitioner - Optometry 4082634183 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fetters Family Eye Care PCGroup PAC ID 2961436993, 2 clinicians

Practice addresses (Care Compare)

3726 Queen CT SW
Suite 201
Cedar Rapids, IA 52404-3906
Phone (319) 826-6691

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2502IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Family Eyecare, PLLC Optometrist CurrentSince Jun 22, 2026 Accepting new patients
Fetters Family Eye Care PC Optometrist CurrentSince Oct 29, 2010 Accepting new patients
Visionworks, Inc. Optometrist Past Accepting new patients
Kessler Eyecare, P.a. Optometrist Past Accepting new patients
Kessler Eyecare PA Optometrist PastSince Aug 27, 2014 Accepting new patients

Locations

3726 Queen Ct SW
Ste 201
Cedar Rapids, IA 52404
Phone (319) 390-4144

576 Boyson Rd NE
Ste 104
Cedar Rapids, IA 52402
Phone (319) 373-3737

2600 Edgewood Rd SW
Ste 376
Cedar Rapids, IA 52404
Phone (319) 390-4144

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1013033075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 27TH STREET DR SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031632",
            "telephone_number": "785-550-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 BOYSON RD NE STE 104",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524027363",
            "telephone_number": "319-373-3737",
            "fax_number": "319-365-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Edgewood Rd SW",
            "address_2": "Suite 376",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524047818",
            "country_code": "US",
            "telephone_number": "319-390-4144",
            "fax_number": "319-390-4674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HEATHER",
        "middle_name": "YVONNE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "2502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013033075",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.