Individual provider Active NPI

Michelle Phuong Thuy Nguyen, OD

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1326710146
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002760 Issued in AZ
Practice address
7625 W Lower Buckeye Rd Ste 105
Phoenix, AZ 85043-0915
Phone
(623) 478-9959
Fax
(623) 907-1413
NPI assigned
Sep 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10317 TX
Optometrist 152W00000X OPT-002760 AZ Primary

Addresses

Primary practice location

7625 W Lower Buckeye Rd Ste 105
Phoenix, AZ 85043-0915

Mailing address

955 W Southern Ave Ste 101
Mesa, AZ 85210-4903
Phone (480) 961-1865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 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
I20211019000036 TX Practitioner - Optometry 6204234594 Reassigns benefits to 1 organization
I20240307000005 AZ Practitioner - Optometry 6204234594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nationwide Optometry P.C.Group PAC ID 6901033075, 54 clinicians

Practice addresses (Care Compare)

7625 W Lower Buckeye Rd
Suite 105
Phoenix, AZ 85043-3447
Phone (623) 478-9959

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10317TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thai-an Nguyen OD PLLC Optometrist CurrentSince Oct 1, 2021 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Feb 23, 2024 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Feb 23, 2024 Accepting new patients
Dr. Michael K. Hammond, PA Optometrist CurrentSince Oct 18, 2021 Accepting new patients

Locations

1775 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1600

801 S Milton Rd
Flagstaff, AZ 86001
Phone (928) 213-1400

955 W Southern Ave
Ste 101
Mesa, AZ 85210
Phone (480) 961-1865

7625 W Lower Buckeye Rd
Ste 105
Phoenix, AZ 85043
Phone (623) 214-3848

610 E Baseline Rd
#C3B
Phoenix, AZ 85042
Phone (602) 269-9771

2040 E Rio Salado Pkwy
Ste 120
Tempe, AZ 85288
Phone (480) 966-4992

4663 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 322-0873

182 W 32nd St
Yuma, AZ 85364
Phone (928) 726-7757

2634 S Carrier Pkwy
Ste 101
Grand Prairie, TX 75052
Phone (972) 641-0011

Interoperability endpoints

  • Direct secure messaging: michellenguyen@direct.eyecare-partners.com
  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz

Organizations & group practices 4

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": "1632960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1326710146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 W SOUTHERN AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104903",
            "telephone_number": "480-961-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7625 W LOWER BUCKEYE RD STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850430915",
            "telephone_number": "623-478-9959",
            "fax_number": "623-907-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MICHELLE",
        "middle_name": "PHUONG THUY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-30",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10317",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.