Individual provider Active NPI

Annie L Nguyen, OD

  • Optometrist
  • Kansas City, MO
National Provider Identifier
1073136479
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2020013169 Issued in MO
Practice address
5151 NW 88TH St
Kansas City, MO 64154-2700
Phone
(816) 746-9800
Fax
(816) 587-3555
NPI assigned
May 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2152 KS
Optometrist 152W00000X 2020013169 MO Primary

Addresses

Primary practice location

5151 NW 88TH St
Kansas City, MO 64154-2700

Mailing address

5151 NW 88TH St
Kansas City, MO 64154-2700
Phone (816) 746-9800

Other practice location 1

301 NE Mulberry St Ste 101
Lees Summit, MO 64086-6016
Phone (816) 525-3937

Other practice location 2

935 Iowa St Ste 3
Lawrence, KS 66044-1854
Phone (785) 838-3200

Other practice location 3

2600 Iowa St
Lawrence, KS 66046-4152
Phone (785) 842-6999

Other practice location 4

2720 S 4th St
Leavenworth, KS 66048-4571
Phone (913) 651-3344

Other practice location 5

2925 N Belt Hwy
Saint Joseph, MO 64506-2006
Phone (816) 364-0450

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address anguyen@moyeseye.direct.eyemdemr.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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

Enrollment IDStateProvider typePAC IDDetails
I20200618003179 MO Practitioner - Optometry 9537581673 Reassigns benefits to 1 organization
I20220531000612 KS Practitioner - Optometry 9537581673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarkson Optometry IncGroup PAC ID 0840411799, 82 clinicians

Practice addresses (Care Compare)

2720 S 4TH St
Leavenworth, KS 66048-4571
Phone (913) 651-3344

2925 N Belt Hwy
The Spec Shoppe
Saint Joseph, MO 64506-2006
Phone (816) 364-0450

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Price Young Odle & Horsch PA Optometrist CurrentSince Jun 26, 2023 Accepting new patients
DRS Price Young Odle & Horsch PA Optometrist CurrentSince Jun 26, 2023 Accepting new patients
DRS Price Young Odle & Horsch PA Optometrist Current Accepting new patients
Clarkson Optometry, Inc Optometrist CurrentSince Jan 6, 2023 Accepting new patients
Clarkson Optometry Inc Optometrist CurrentSince Jan 6, 2023 Accepting new patients
Frisco Eye Associates Optometrist PastSince Aug 15, 2021 Accepting new patients
Clarkson Eyecare Optometrist Past Accepting new patients

Locations

935 Iowa St
Ste 3
Lawrence, KS 66044
Phone (785) 246-3937

2600 Iowa St
Lawrence, KS 66046
Phone (785) 842-6999

2720 S 4th St
Leavenworth, KS 66048
Phone (913) 651-3344

3012 Anderson Ave
Manhattan, KS 66503
Phone (785) 537-1118

100 S Jackson St
Perryville, MO 63775
Phone (573) 334-5265

2925 N Belt Hwy
Saint Joseph, MO 64506
Phone (816) 364-0450

Interoperability endpoints

  • Direct secure messaging: anguyen@moyeseye.direct.eyemdemr.com

Organizations & group practices 7

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": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1073136479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 NW 88TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641542700",
            "telephone_number": "816-746-9800",
            "fax_number": "816-587-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 NW 88TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641542700",
            "telephone_number": "816-746-9800",
            "fax_number": "816-587-3555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 NE Mulberry St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lees Summit",
            "state": "MO",
            "postal_code": "640866016",
            "country_code": "US",
            "telephone_number": "816-525-3937",
            "fax_number": "816-875-2177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 Iowa St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660441854",
            "country_code": "US",
            "telephone_number": "785-838-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 Iowa St",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660464152",
            "country_code": "US",
            "telephone_number": "785-842-6999",
            "fax_number": "785-842-1291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 S 4th St",
            "address_purpose": "LOCATION",
            "city": "Leavenworth",
            "state": "KS",
            "postal_code": "660484571",
            "country_code": "US",
            "telephone_number": "913-651-3344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2925 N Belt Hwy",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645062006",
            "country_code": "US",
            "telephone_number": "816-364-0450",
            "fax_number": "816-364-0487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANNIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-20",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "2152",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2020013169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "anguyen@moyeseye.direct.eyemdemr.com",
            "affiliation": "N",
            "address_1": "5151 NW 88th St",
            "city": "Kansas City",
            "state": "MO",
            "country_code": "US",
            "postal_code": "641542700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.