Individual provider Active NPI

Xuan Anh Vu Nguyen, O. D.

  • Optometrist
  • Baton Rouge, LA
National Provider Identifier
1093895559
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1330-464T Issued in LA
Practice address
3132 College Dr
Baton Rouge, LA 70808-3119
Phone
(225) 935-2251
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1330-464T LA Primary

Addresses

Primary practice location

3132 College Dr
Baton Rouge, LA 70808-3119

Mailing address

8939 Jefferson Hwy
#118
Baton Rouge, LA 70809-2472
Phone (713) 854-0544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20190109001651 LA Practitioner - Optometry 6901142124 Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093895559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8939 JEFFERSON HWY",
            "address_2": "#118",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092472",
            "telephone_number": "713-854-0544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3132 COLLEGE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083119",
            "telephone_number": "225-935-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "XUAN ANH",
        "middle_name": "VU",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1330-464T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.