Active NPI
Michelle Phuong Thuy Nguyen, OD
- Optometrist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT-002760
- 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
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 | 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10317 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thai-an Nguyen OD PLLC | Optometrist | Current | Accepting new patients |
| Nationwide Optometry P.C. | Optometrist | Current | Accepting new patients |
| Nationwide Optometry P.C. | Optometrist | Current | Accepting new patients |
| Dr. Michael K. Hammond, PA | Optometrist | Current | 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
- michellenguyen@direct.eyecare-partners.com
- 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.
-
- Optometrist
- Tempe, AZ
- NPI 1326472945
-
- Optometrist
- Grand Prairie, TX
- NPI 1346436193
-
- Optometrist
- Sun City West, AZ
- NPI 1427374347
-
- Optometrist
- Grand Prairie, TX
- NPI 1851717243
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.