Active NPI
Phuong Thanh Nguyen, O.D.
- Optometrist
- Quincy, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4990
- Practice address
- 212 Common St
Quincy, MA 02169-4709 - Phone
- (617) 858-4420
- NPI assigned
- Aug 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4990 | MA | Primary |
Addresses
Primary practice location
212 Common St
Quincy, MA 02169-4709
Mailing address
212 Common St
Quincy, MA 02169-4709
Phone (617) 858-4420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
415 Columbia Rd
Dorchester, MA 02125-2424
Phone (617) 287-8000
500 Columbia Rd
Dorchester, MA 02125-2322
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4990 | MA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upham'S Corner Health Committee, Inc. | Current | Accepting new patients | |
| Denise K Snow Williams OD PC | Optometrist | Current | Accepting new patients |
| Comfort Vision Inc | Optometrist | Current | Accepting new patients |
| TPB Enterprises, Inc | Optometrist | Current | Accepting new patients |
| Eye See Eye, LLC | Optometrist | Current | Accepting new patients |
Locations
545 Union Ave
Unit A
Framingham, MA 01702
Phone (508) 875-9636
543 Washington St
Quincy, MA 02169
Phone (617) 657-0205
60 Quincy Shore Dr
#A
Quincy, MA 02171
Phone (617) 302-3644
9 Warren St
Randolph, MA 02368
Phone (781) 963-8448
415 Columbia Rd
Uphams Corner, MA 02125
Phone (617) 287-8000
500 Columbia Rd
Uphams Corner, MA 02125
Phone (617) 287-8000
Interoperability endpoints
- pnguyen310852@direct.ochin.org
Organizations & group practices 6
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.
-
- Community Health Clinic/Center
- Dorchester, MA
- NPI 1780780486
-
- Optometrist
- Quincy, MA
- NPI 1831381045
-
- Optometrist
- Framingham, MA
- NPI 1114948304
-
- Optometrist
- Braintree, MA
- NPI 1942910765
-
- Optometrist
- Malden, MA
- NPI 1063610194
-
- Optometrist
- Randolph, MA
- NPI 1992968507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376956800000",
"number": "1164855698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 COMMON ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694709",
"telephone_number": "617-858-4420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 COMMON ST",
"city": "QUINCY",
"state": "MA",
"postal_code": "021694709",
"telephone_number": "617-858-4420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "PHUONG",
"middle_name": "THANH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-20",
"last_updated": "2013-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "4990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.