Active NPI
Thao Thanh Nguyen, O.D.
- Optometrist
- Germantown, MD
National Provider Identifier
1205934858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA 1698
- Practice address
- 20910 Frederick Rd
Germantown, MD 20876-4134 - Phone
- (301) 515-6708
- Fax
- (301) 515-6714
- NPI assigned
- Sep 20, 2006
- 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 | TA 1698 | MD | Primary |
Addresses
Primary practice location
20910 Frederick Rd
Germantown, MD 20876-4134
Mailing address
20910 Frederick Rd
Germantown, MD 20876-4134
Phone (301) 515-6708
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA 1698 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allegany Optical LLC | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Cumberland, MD
- NPI 1316363823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205934858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20910 FREDERICK RD",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208764134",
"telephone_number": "301-515-6708",
"fax_number": "301-515-6714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20910 FREDERICK RD",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208764134",
"telephone_number": "301-515-6708",
"fax_number": "301-515-6714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THAO",
"middle_name": "THANH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA 1698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.