Active NPI
Nga Phuong Nguyen, O.D.
- Optometrist
- Tampa, FL
National Provider Identifier
1316253933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC4537
- Practice address
- 400 E Dr Martin Luther King Jr Blvd
Tampa, FL 33603-3866 - Phone
- (181) 387-4872
- Fax
- (813) 877-3420
- NPI assigned
- Aug 19, 2010
- Last updated
- Sep 28, 2010
- Sex
- Female
- Sole proprietor
- No
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 | OPC4537 | FL | Primary |
Addresses
Primary practice location
400 E Dr Martin Luther King Jr Blvd
Tampa, FL 33603-3866
Mailing address
10115 Palermo Cir
103
Tampa, FL 33619-5079
Phone (352) 328-4772
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC4537 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285632000000",
"number": "1316253933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10115 PALERMO CIR",
"address_2": "103",
"city": "TAMPA",
"state": "FL",
"postal_code": "336195079",
"telephone_number": "352-328-4772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E DR MARTIN LUTHER KING JR BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336033866",
"telephone_number": "181-387-4872",
"fax_number": "813-877-3420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "NGA",
"middle_name": "PHUONG",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-19",
"last_updated": "2010-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC4537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.