Minh-Tam Nguyen

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002638 Issued in VA

Practice address

8424 Old Keene Mill Rd
Springfield, VA 22152-2302

Phone

(703) 569-6611

NPI assigned

Feb 8, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: 38581@visionworks.emadirect.md

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.

• Daniel Poth, O.D. and Associates, P.C.

  • Optometrist
  • Vienna, VA
  • NPI 1154354041

  DC

  Medicare reassignment NPD
• Daniel Poth, O.D. and Associates, P.C.

  • Eyewear Supplier
  • Fairfax, VA
  • NPI 1093459182

  Optometrist

  NPD

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1093253247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 OLD KEENE MILL RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 OLD KEENE MILL RD",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221522302",
            "telephone_number": "703-569-6611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MINH-TAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003247",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002638",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2628",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ha Son Nguyen
• Joanne Nguyen, OD
• Khoa M Nguyen, PHARMD
• Kyla Wyatt Nguyen, MSN, RN, LNP, FNP-BC
• Maggie Nguyen, PHARM.D
• Ngoc-Khanh Nguyen
• Nhu-Anh Nguyen, PHARMD
• Phuong Nguyen, PHARMD
• Phuong Ngoc Nguyen, D.M.D
• Phuong-Thao Nguyen

• Optometrist in Springfield, VA
• Providers in Springfield, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.