Individual provider Active NPI

VI Thao Nguyen, OD

  • Optometrist
  • Kissimmee, FL
National Provider Identifier
1346760204
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5415 Issued in FL
Practice address
1040 Cypress Pkwy
Kissimmee, FL 34759-3328
Phone
(407) 654-5453
NPI assigned
Jun 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5415 FL Primary

Addresses

Primary practice location

1040 Cypress Pkwy
Kissimmee, FL 34759-3328

Mailing address

7595 Blue Quail LN
Orlando, FL 32835-5808
Phone (407) 731-9638

Other identifiers 1

IdentifierTypeStateIssuer
OPC5415OtherFLFLORIDA OPTOMETRY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171005001692 FL Practitioner - Optometry 8022383710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thanh and VI Eye CareGroup PAC ID 8325463094, 2 clinicians

Practice addresses (Care Compare)

1620 Avalon Rd
Suite 120
Winter Garden, FL 34787-5694
Phone (407) 377-7633

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5415FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Aug 8, 2017 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince Aug 8, 2017 Accepting new patients
Thanh & VI Eye Care Optometrist CurrentSince Jul 31, 2019 Accepting new patients
TN Eye Care LLC Optometrist CurrentSince Mar 24, 2025 Accepting new patients

Locations

1303 E Vine St
Kissimmee, FL 34744
Phone (407) 870-2002

1040 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 654-5453

1480 Timberlane Rd
Tallahassee, FL 32312
Phone (850) 878-1601

1620 Avalon Rd
Ste 120
Winter Garden, FL 34787
Phone (407) 377-7633

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 5

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": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1346760204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 BLUE QUAIL LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355808",
            "telephone_number": "407-731-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 CYPRESS PKWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347593328",
            "telephone_number": "407-654-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VI",
        "middle_name": "THAO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA OPTOMETRY LICENSE",
            "identifier": "OPC5415",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.