Active NPI
Phuong Lan Duong, OD
- Optometrist
- Edwards, CO
National Provider Identifier
1346838372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT0003648
- Practice address
- 1140 Edwards Village Blvd Unit B206
Edwards, CO 81632-5562 - Phone
- (970) 926-8474
- NPI assigned
- Jan 5, 2021
- Last updated
- Jan 19, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT0003648 | CO | Primary |
Addresses
Primary practice location
1140 Edwards Village Blvd Unit B206
Edwards, CO 81632-5562
Mailing address
1140 Edwards Village Blvd Unit B206
Edwards, CO 81632-5562
Phone (970) 926-8474
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT0003648 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vail Vision PC | Optometrist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1346838372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 EDWARDS VILLAGE BLVD UNIT B206",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816325562",
"telephone_number": "970-926-8474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 EDWARDS VILLAGE BLVD UNIT B206",
"city": "EDWARDS",
"state": "CO",
"postal_code": "816325562",
"telephone_number": "970-926-8474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "PHUONG",
"middle_name": "LAN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-05",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "OPT0003648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edwards, CO
- Meghan Elizabeth Drager
- Taylor Dreher Lee
- Joseph Drew, NURSE PRACTIONER
- Stephanie Drew, PT
- Ashton Renee Dunphy, LCSW
- Eagle County Health Service District (Eagle County Ambulance District)
- Eagle County Health Service District (Eagle County Mobile Integrated Health)
- Eagle County Health Service District (Eagle Valley Home Health)
- Eagle River Dentistry
- Eagle Valley Counseling LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.