Individual provider Active NPI

Duyen Nguyen, OD

  • Optometrist
  • Arbutus, MD
National Provider Identifier
1225161979
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA1831 Issued in MD
Practice address
3601 Washington Blvd
Arbutus, MD 21227-1627
Phone
(410) 737-7716
NPI assigned
Mar 13, 2007
Last updated
Nov 6, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA1831 MD Primary

Addresses

Primary practice location

3601 Washington Blvd
Arbutus, MD 21227-1627

Mailing address

3601 Washington Blvd
Arbutus, MD 21227-1627
Phone (410) 737-7716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20071015000219 MD Practitioner - Optometry 8123114626 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA1831MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Visionworks, Inc. Optometrist CurrentSince Dec 12, 2024 Accepting new patients
Visionworks, Inc CurrentSince Dec 12, 2024 Accepting new patients
Visionworks Inc. Past Accepting new patients
Visionworks, Inc. Past Accepting new patients

Locations

169 Jennifer Rd
Ste D
Annapolis, MD 21401
Phone (410) 224-0021

23415 Three Notch Rd
Ste 1101
California, MD 20619
Phone (301) 862-1896

825 Dulaney Valley Rd
Ste 1335
Towson, MD 21204
Phone (410) 823-3830

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1225161979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 WASHINGTON BLVD",
            "city": "ARBUTUS",
            "state": "MD",
            "postal_code": "212271627",
            "telephone_number": "410-737-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 WASHINGTON BLVD",
            "city": "ARBUTUS",
            "state": "MD",
            "postal_code": "212271627",
            "telephone_number": "410-737-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DUYEN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arbutus, MD

Sources for this page

Verify at the official NPI Registry.