Individual provider Active NPI

Nghiem Dinh, O.D.

  • Optometrist
  • Gig Harbor, WA
National Provider Identifier
1093149494
Registry record updated Jan 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD60511809 Issued in WA
Practice address
10990 Harbor Hill Dr
Gig Harbor, WA 98332-8945
Phone
(626) 673-3319
NPI assigned
Aug 21, 2013
Last updated
Jan 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD60511809 WA Primary

Addresses

Primary practice location

10990 Harbor Hill Dr
Gig Harbor, WA 98332-8945

Mailing address

10990 Harbor Hill Dr
Gig Harbor, WA 98332-8945
Phone (253) 853-8613

Other identifiers 1

IdentifierTypeStateIssuer
2107403MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20200227002092 WA Practitioner - Optometry 2668809815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dinh Louie Optometry, PLLCGroup PAC ID 1759718901, 5 clinicians

Practice addresses (Care Compare)

10990 Harbor Hill Dr
Gig Harbor, WA 98332-8945
Phone (253) 867-8673

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dinh Louie Optometry PLLC Optometrist CurrentSince Jan 1, 2020 Accepting new patients
Summerlin Vision Center Inc Optometrist Past Accepting new patients
Northwest Vision Center LLC Optometrist PastSince Aug 10, 2015 Accepting new patients

Locations

10990 Harbor Hill Dr
Gig Harbor, WA 98332
Phone (253) 853-8613

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, 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": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577836800000",
    "number": "1093149494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10990 HARBOR HILL DR",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328945",
            "telephone_number": "253-853-8613",
            "fax_number": "253-853-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10990 HARBOR HILL DR",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328945",
            "telephone_number": "626-673-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINH",
        "first_name": "NGHIEM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2020-01-01",
        "certification_date": "2020-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60511809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2107403",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.