Individual provider Active NPI

Thu Nguyen, OD

  • Optometrist
  • Largo, FL
National Provider Identifier
1154841278
Registry record updated Jun 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5420 Issued in FL
Practice address
10500 Ulmerton Rd Ste 278
Largo, FL 33771-3537
Phone
(813) 317-0371
NPI assigned
Jun 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5420 FL Primary

Addresses

Primary practice location

10500 Ulmerton Rd Ste 278
Largo, FL 33771-3537

Mailing address

6946 Silver Sage Cir
Tampa, FL 33634-1151
Phone (813) 317-0371

Other names 1

  • Dr. Thu Nguyen Professional name

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
I20180326002476 FL Practitioner - Optometry 0042572315 Reassigns benefits to 3 organizations
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5420FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Aug 17, 2021 Accepting new patients
Dr Richard C. Buck OD PC Optometrist CurrentSince Jun 30, 2023 Accepting new patients
Gulf Coast Optometry, PA CurrentSince Jan 1, 2022 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Dr. Claffie and Associates, O.D., P.a. Optometrist CurrentSince Mar 18, 2022 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Aug 17, 2021 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Past Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

3922 S Suncoast Blvd
Homosassa Springs, FL 34448
Phone (352) 621-7528

10601 US Highway 441
Ste C8
Leesburg, FL 34788

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

2393 SW College Rd
Ocala, FL 34471
Phone (352) 291-5098

2223 N West Shore Blvd
Ste 202
Tampa, FL 33607
Phone (813) 350-0870

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

10224 E Adamo Dr
Tampa, FL 33619
Phone (813) 315-9898

7706 Winchester Rd
Ste 105
Memphis, TN 38125
Phone (901) 752-1551

Networks

  • Freedom Health HMO Network

Organizations & group practices 9

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": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497916800000",
    "number": "1154841278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6946 SILVER SAGE CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336341151",
            "telephone_number": "813-317-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 ULMERTON RD STE 278",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713537",
            "telephone_number": "813-317-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THU",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2017-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THU",
            "last_name": "NGUYEN",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.