Individual provider Active NPI

Lanh Thi Nguyen, O.D.

  • Optometrist
  • Hialeah, FL
National Provider Identifier
1013296508
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4617 Issued in FL
Practice address
555 E 25TH St
#201
Hialeah, FL 33013-3848
Phone
(305) 691-9780
NPI assigned
Aug 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4617 FL Primary

Addresses

Primary practice location

555 E 25TH St
#201
Hialeah, FL 33013-3848

Mailing address

18246 SW 26TH CT
Miramar, FL 33029-5149
Phone (786) 877-2493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20111017000673 FL Practitioner - Optometry 1850563826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1011 W Vine St
Kissimmee, FL 34741-4166
Phone (407) 343-0567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Deal Optical LLC Optometrist CurrentSince Aug 9, 2014 Accepting new patients
Florida Optical Enterprises, Inc. Optometrist CurrentSince Dec 7, 2012 Accepting new patients
Jimmy Nguyen OD PA Optometrist PastSince Aug 9, 2014 Accepting new patients

Locations

1204 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 408-5177

1011 W Vine St
Kissimmee, FL 34741
Phone (407) 343-0567

Networks

  • FL HMO D-SNP
  • FL HMO C-SNP
  • FL HMO
  • FL PPO
  • Freedom Health HMO Network

Organizations & group practices 3

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": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316995200000",
    "number": "1013296508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18246 SW 26TH CT",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295149",
            "telephone_number": "786-877-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E 25TH ST",
            "address_2": "#201",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330133848",
            "telephone_number": "305-691-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LANH",
        "middle_name": "THI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2011-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.