Active NPI
Huong T Nguyen-Duong, OD
- Optometrist
- Burke, VA
National Provider Identifier
1326034711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618000588
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010048516 | Medicaid | VA | |
| 036211200 | Medicaid | DC | |
| 406593000 | Medicaid | MD |
Other names 1
- Kara Duong
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040805001576 | DC | Practitioner - Optometry | 3971574450 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA1393 | MD | MD | Optometrist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.