Individual provider Active NPI

Brandon Nguyen, OD

  • Optometrist
  • Derry, NH
National Provider Identifier
1063145233
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1061 Issued in NH
Practice address
6 Tsienneto Rd Ste 101
Derry, NH 03038-1584
Phone
(603) 689-3011
NPI assigned
Jul 6, 2022
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1061 NH Primary

Addresses

Primary practice location

6 Tsienneto Rd Ste 101
Derry, NH 03038-1584

Mailing address

6 Tsienneto Rd Ste 101
Derry, NH 03038-1584
Phone (603) 434-4193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20220812000547 NH Practitioner - Optometry 7810370590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spindel Eye Associates PCGroup PAC ID 4880676659, 12 clinicians

Practice addresses (Care Compare)

6 Tsienneto Rd
Suite 101
Derry, NH 03038-1584
Phone (603) 434-4193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1061NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spindel Eye Associates PC CurrentSince Aug 1, 2022 Accepting new patients

Locations

6 Tsienneto Rd
Ste 101
Derry, NH 03038
Phone (603) 434-4193

50 Michels Way
Unit 104
Londonderry, NH 03053

6 Tsienneto Rd
Londonderry, NH 03038
Phone (603) 421-9959

6 Old Fremont Road Ext
Ste 1
Raymond, NH 03077

49 Range Rd
Ste 106
Windham, NH 03087
Phone (603) 434-4193

Interoperability endpoints

  • Direct secure messaging: bnguyen@spindeleye.direct.eyemdemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1063145233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD STE 101",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-434-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD STE 101",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-689-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "1061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

Verify at the official NPI Registry.