Ryan Nguyen, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

046.011354 Issued in IL

Practice address

5222 N Clark St
Chicago, IL 60640-2377

Phone

(773) 275-2538

NPI assigned

Jun 22, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, IL2 enrollments

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 2

Specialty

Optometry

Education

State University of New York - State College Optometry, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Visionary Eye Care Professionals PCGroup PAC ID 2860774296, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Visionary Eye Care Professionals PC

  • Optometrist
  • Chicago, IL
  • NPI 1790881985
  Medicare reassignment Care Compare group
• Nova Southeastern University, Inc

  • Optometrist
  • Ft. Lauderdale, FL
  • NPI 1700924511
  Medicare reassignment NPD
• Nova Southeastern University

  • Allergy & Immunology (Internal Medicine) Physician
  • Davie, FL
  • NPI 1326386848
  NPD
• Nova Southeastern University Inc.

  • Clinical Medical Laboratory
  • Ft. Lauderdale, FL
  • NPI 1770533390
  NPD
• Visionary Eye Care Professionals, PC

  • Optometrist
  • Chicago, IL
  • NPI 1609972892
  NPD (past)
• Nova Southeastern University, Inc

  • Family Medicine Physician
  • Davie, FL
  • NPI 1447345517
  NPD (past)

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1073008058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402377",
            "telephone_number": "773-275-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402377",
            "telephone_number": "773-275-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-22",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OFC87",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV008816",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT34192",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046.011354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phuong-Thao Nguyen, LSW
• Quynh Dinh Bao Nguyen, MD
• Quynh Giao Nguyen, MD
• Quynh Thu Nguyen, MD
• Rayanne Nguyen, MS, RD, LDN
• Ryan Huu-Tuan Nguyen, D.O.
• Sabrina Nguyen
• Samantha Veronica Nguyen, LCPC
• Stephanie Nguyen, DNP, APRN, PMHNP-BC
• Stephanie Nguyen, RN

• Corneal and Contact Management Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Corneal and Contact Management Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.

Verify at the official NPI Registry.