Individual provider Active NPI

Huong T Nguyen-Duong, OD

  • Optometrist
  • Burke, VA
National Provider Identifier
1326034711
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000588 Issued in VA
Practice address
5203A Lyngate CT
Burke, VA 22015-1632
Phone
(703) 764-2015
Fax
(703) 503-4482
NPI assigned
Sep 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000588 VA Primary
Optometrist 152W00000X TA1393 MD

Addresses

Primary practice location

5203A Lyngate CT
Burke, VA 22015-1632

Mailing address

5203A Lyngate CT
Burke, VA 22015-1632
Phone (703) 764-2015

Other identifiers 3

IdentifierTypeStateIssuer
010048516MedicaidVA
036211200MedicaidDC
406593000MedicaidMD

Other names 1

  • Kara Duong Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20040805001576 DC Practitioner - Optometry 3971574450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA1393MDMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1326034711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203A LYNGATE CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151632",
            "telephone_number": "703-764-2015",
            "fax_number": "703-503-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203A LYNGATE CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151632",
            "telephone_number": "703-764-2015",
            "fax_number": "703-503-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN-DUONG",
        "first_name": "HUONG",
        "middle_name": "T",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-21",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000588",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1393",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010048516",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036211200",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406593000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "DUONG",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Burke, VA

Sources for this page

Verify at the official NPI Registry.