Individual provider Active NPI

Tiffany Nguyen

  • Optometrist
  • Henderson, NV
National Provider Identifier
1346970670
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1132 Issued in NV
Practice address
3195 Saint Rose Pkwy Ste 100
Henderson, NV 89052-3509
Phone
(702) 634-2020
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1132 NV Primary

Addresses

Primary practice location

3195 Saint Rose Pkwy Ste 100
Henderson, NV 89052-3509

Mailing address

3195 Saint Rose Pkwy Ste 100
Henderson, NV 89052-3509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20220623003160 NV Practitioner - Optometry 0042699860 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Optic Gallery the District LLCGroup PAC ID 6204124209, 4 clinicians
Optic Gallery Seven Hills LLCGroup PAC ID 9537383260, 4 clinicians

Practice addresses (Care Compare)

2260 Village Walk Dr
Suite 108
Henderson, NV 89052-5689
Phone (702) 871-3937

3195 Saint Rose Pkwy
Suite 100
Henderson, NV 89052-3509
Phone (702) 634-2020

Merit-based Incentive Payment System (MIPS)

Final score
87.81 of 100Reported as group
Quality
92.96
Promoting interoperability
97
Improvement activities
40
Cost
68.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optic Gallery Seven Hills LLC Optometrist CurrentSince Jun 14, 2022 Accepting new patients
Optic Gallery the District LLC Optometrist CurrentSince Jan 31, 2024 Accepting new patients
Eye Associates of Nevada CurrentSince Aug 1, 2022 Accepting new patients
Dr Stephanie P Lee Corporation Optometrist PastSince Jan 31, 2024 Accepting new patients

Locations

10424 S Eastern Ave
Ste 100
Henderson, NV 89052
Phone (702) 733-2020

2260 Village Walk Dr
Ste 108
Henderson, NV 89052
Phone (702) 871-3937

3195 Saint Rose Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 634-2020

2110 E Flamingo Rd
Ste 210
Las Vegas, NV 89119
Phone (702) 733-2020

Interoperability endpoints

  • Direct secure messaging: tiffany.nguyen.p28@direct.avp.nextgenshare.com

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": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1346970670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3195 SAINT ROSE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3195 SAINT ROSE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523509",
            "telephone_number": "702-634-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.