Individual provider Active NPI

Phuong-Duyen Bui

  • Optometrist
  • Alexandria, VA
National Provider Identifier
1295474609
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618003123 Issued in VA
Practice address
7702 Richmond Hwy Unit H
Alexandria, VA 22306-2803
Phone
(073) 770-3717
NPI assigned
Jun 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618003123 VA Primary

Addresses

Primary practice location

7702 Richmond Hwy Unit H
Alexandria, VA 22306-2803

Mailing address

4303 Hollowstone CT
Chantilly, VA 20151-2535
Phone (571) 345-5656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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

Enrollment IDStateProvider typePAC IDDetails
I20220708001222 VA Practitioner - Optometry 4880074806
I20221025000079 DC Practitioner - Optometry 4880074806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anh Nguyen MD, PCGroup PAC ID 8426053638, 5 clinicians

Practice addresses (Care Compare)

6402 Arlington Blvd
Suite 600
Falls Church, VA 22042-2343
Phone (703) 534-4393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618003123VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Anh Nguyen, M.D., P.C. CurrentSince Nov 1, 2022 Accepting new patients
Anh Nguyen Ophthalmic Surgery LLC PastSince Jan 26, 2025 Accepting new patients

Locations

431 Park Ave
Ste 103
Falls Church, VA 22046
Phone (703) 534-4393

6402 Arlington Blvd
Ste 600
Falls Church, VA 22042
Phone (703) 534-4393

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1295474609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 HOLLOWSTONE CT",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201512535",
            "telephone_number": "571-345-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 RICHMOND HWY UNIT H",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223062803",
            "telephone_number": "073-770-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUI",
        "first_name": "PHUONG-DUYEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.