Jennifer Phuong-Uyen Nguyen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-002767 Issued in AZ

Practice address

2840 Highway 95 Ste 416-418
Bullhead City, AZ 86442-7792

Phone

(928) 704-1808

Fax

(928) 704-1814

NPI assigned

Aug 30, 2012

Last updated

Feb 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA, AZ2 enrollments

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 2

Specialty

Optometry

Education

University of Houston - College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nationwide Optometry P.C.Group PAC ID 6901033075, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz
• Direct secure messaging: jenniferpnguyen@direct.eyecare-partners.com

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.

• Nationwide Optometry P.C.

  dba Nationwide Vision

  • Optometrist
  • Tempe, AZ
  • NPI 1326472945
  Medicare reassignment Care Compare group NPD
• Eye Doctors Northwest PLLC

  dba Advanced Eye Care of Covington

  • Optometrist
  • Covington, WA
  • NPI 1124420526
  Medicare reassignment NPD
• Nationwide Optometry P.C.

  dba Nationwide Vision

  • Optometrist
  • Sun City West, AZ
  • NPI 1427374347
  NPD

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1255680781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 W SOUTHERN AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104903",
            "telephone_number": "809-611-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 HIGHWAY 95 STE 416-418",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864427792",
            "telephone_number": "928-704-1808",
            "fax_number": "928-704-1814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JENNIFER",
        "middle_name": "PHUONG-UYEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60242980",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nazcare - F.R.I.E.N.D.S. Wellness Center
• New Destiny Healing Arts Center
• New Hope Hospice of Bullhead City Inc
• Brenda Leigh Newman, FNP-BC
• Mishaun Frances Newman, FNP-C
• Vu Nguyen
• Savanna Nichols, PTA
• Jeffrey Morito Niizawa, M.D.
• Barry Norman
• Northern Arizona Physical Therapy Associates

• Optometrist in Bullhead City, AZ
• Providers in Bullhead City, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.