Phuong Nguyen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2615 Issued in CT

Practice address

1402 Berlin Tpke
Wethersfield, CT 06109-1010

Phone

(860) 956-1396

Fax

(860) 956-8175

NPI assigned

Mar 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Optometry

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Nguyen Associates LLCGroup PAC ID 3971400433, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dr. Nguyen Associates LLC

  • Optometrist
  • Wethersfield, CT
  • NPI 1730357831
  Medicare reassignment Care Compare group NPD
• Dr. James Hai T. Nguyen, LLC

  • General Practice Dentistry
  • Wethersfield, CT
  • NPI 1255561346
  NPD (past)

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1184741944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 BERLIN TPKE",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091010",
            "telephone_number": "860-956-1396",
            "fax_number": "860-956-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 BERLIN TPKE",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091010",
            "telephone_number": "860-956-1396",
            "fax_number": "860-956-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUONG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-24",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "2615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Nash, PT
• New Horizon Counseling Services, LLC
• Clifford Newton
• Thomas Gee-Ming NG, DO
• James Nguyen, D.M.D.
• Kate Nichols, LCSW
• Bonnie Nicol, LPC
• John Kenneth Nicol, PHARMD
• Nicole Tierney, LMFT, LLC
• William Nkemdirim, MD

• Optometrist in Wethersfield, CT
• Providers in Wethersfield, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.

Verify at the official NPI Registry.