Individual provider Active NPI

Thanh Hien Nguyen, O.D.

  • Optometrist
  • Davie, FL
National Provider Identifier
1104059500
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4479 Issued in FL
Practice address
1890 SW 81St Way
Davie, FL 33324-4609
Phone
(407) 683-8697
NPI assigned
Sep 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4479 FL Primary

Addresses

Primary practice location

1890 SW 81St Way
Davie, FL 33324-4609

Mailing address

1890 SW 81St Way
Davie, FL 33324-4609
Phone (407) 683-8697

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110607000528 FL Practitioner - Optometry 5294912937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thanh and VI Eye CareGroup PAC ID 8325463094, 2 clinicians
You and Eyes, Inc.Group PAC ID 8426234287, 2 clinicians

Practice addresses (Care Compare)

1620 Avalon Rd
Suite 120
Winter Garden, FL 34787-5694
Phone (407) 377-7633

425 S Avalon Park Blvd
Suite 300
Orlando, FL 32828-6701
Phone (407) 658-6580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4479FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thanh & VI Eye Care Optometrist CurrentSince Jul 22, 2020 Accepting new patients
You & Eyes, Inc. Optometrist CurrentSince Mar 15, 2011 Accepting new patients

Locations

9405 W Colonial Dr
Ocoee, FL 34761
Phone (407) 522-3568

425 S Avalon Park Blvd
Ste 300
Orlando, FL 32828
Phone (407) 658-6580

1620 Avalon Rd
Ste 120
Winter Garden, FL 34787
Phone (407) 377-7633

Organizations & group practices 2

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": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1104059500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 SW 81ST WAY",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244609",
            "telephone_number": "407-683-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SW 81ST WAY",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244609",
            "telephone_number": "407-683-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THANH",
        "middle_name": "HIEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-01",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.