Active NPI
Tuan Tu Nguyen, OD
- Optometrist
- Portland, OR
National Provider Identifier
1194737916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2987T
- Practice address
- 1274 SE 182ND Ave
Portland, OR 97233 - Phone
- (503) 669-1992
- Fax
- (503) 618-8262
- NPI assigned
- Aug 12, 2006
- Last updated
- Mar 5, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 2987T | OR | Primary |
Addresses
Primary practice location
1274 SE 182ND Ave
Portland, OR 97233
Mailing address
929 NE 181St Ave
Portland, OR 97230-6757
Phone (503) 669-1992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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
- Southern California College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
929 NE 181St Ave
Portland, OR 97230-6757
Phone (503) 669-1992
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2987T | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gresham Vision Source PC | Optometrist | Current | Accepting new patients |
| Broadway Vision World | Optometrist | Past | Accepting new patients |
Locations
1274 SE 182nd Ave
Portland, OR 97233
Phone (503) 669-1992
929 NE 181st Ave
Portland, OR 97230
Phone (503) 669-1992
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Portland, OR
- NPI 1346323367
-
- Optometrist
- Portland, OR
- NPI 1295915700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1194737916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 NE 181ST AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972306757",
"telephone_number": "503-669-1992",
"fax_number": "503-618-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1274 SE 182ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97233",
"telephone_number": "503-669-1992",
"fax_number": "503-618-8262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TUAN",
"middle_name": "TU",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-12",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "2987T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; 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.