Individual provider Active NPI

Nha H Nguyen, OD

  • Optometrist
  • Tumwater, WA
National Provider Identifier
1114651569
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG003905 Issued in PA
Practice address
3409 Capitol Blvd SW
Tumwater, WA 98501-3307
Phone
(360) 228-2733
NPI assigned
Jul 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG003905 PA Primary

Addresses

Primary practice location

3409 Capitol Blvd SW
Tumwater, WA 98501-3307

Mailing address

3409 Capitol Blvd SW
Tumwater, WA 98501-3307
Phone (360) 228-2733

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
I20221130001942 WA Practitioner - Optometry 1355719014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Love PLLCGroup PAC ID 4183951130, 3 clinicians

Practice addresses (Care Compare)

3409 Capitol Blvd SW
Tumwater, WA 98501-3307
Phone (360) 259-1481

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG003905PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Love PLLC Optometrist CurrentSince Aug 20, 2022 Accepting new patients

Locations

3409 Capitol Blvd SW
Tumwater, WA 98501
Phone (360) 228-2733

Organizations & group practices 1

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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1114651569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 CAPITOL BLVD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013307",
            "telephone_number": "360-228-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 CAPITOL BLVD SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985013307",
            "telephone_number": "360-228-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NHA",
        "middle_name": "H",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

Verify at the official NPI Registry.