Individual provider Active NPI

Simile Nguyen, OD

  • Optometrist
  • Durango, CO
National Provider Identifier
1265329668
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.0004127 Issued in CO
Practice address
3710 Main Ave Ste 203
Durango, CO 81301-4075
Phone
(970) 403-5655
NPI assigned
Jun 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.0004127 CO Primary

Addresses

Primary practice location

3710 Main Ave Ste 203
Durango, CO 81301-4075

Mailing address

3710 Main Ave Ste 203
Durango, CO 81301-4075
Phone (970) 403-5655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250702000725 CO Practitioner - Optometry 2567975519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Eyecare PLLCGroup PAC ID 7012315104, 3 clinicians

Practice addresses (Care Compare)

3710 Main Ave
Suite 203
Durango, CO 81301-4033
Phone (970) 403-5655

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Eyecare PLLC Optometrist CurrentSince Jun 22, 2025 Accepting new patients

Locations

3710 Main Ave
Ste 203
Durango, CO 81301
Phone (970) 403-5655

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.

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1265329668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 MAIN AVE STE 203",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014075",
            "telephone_number": "970-403-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 MAIN AVE STE 203",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014075",
            "telephone_number": "970-403-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SIMILE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0004127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.