Individual provider Active NPI

Faustina Nguyen, OD

  • Optometrist
  • Havertown, PA
National Provider Identifier
1366329849
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG004301 Issued in PA
Practice address
56 W Eagle Rd
Havertown, PA 19083-1447
Phone
(610) 890-5238
NPI assigned
Aug 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG004301 PA Primary

Addresses

Primary practice location

56 W Eagle Rd
Havertown, PA 19083-1447

Mailing address

307 Lamplighter LN
Huntingdon Valley, PA 19006-3034
Phone (215) 510-8864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20251125004748 PA Practitioner - Optometry 2466944574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Negrey Eye AssociatesGroup PAC ID 8527952944, 5 clinicians

Practice addresses (Care Compare)

56 W Eagle Rd
Havertown, PA 19083-1447
Phone (610) 446-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG004301PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Negrey Eye Associates Optometrist CurrentSince Oct 24, 2025 Accepting new patients

Locations

56 W Eagle Rd
Havertown, PA 19083
Phone (610) 446-8080

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGICCA

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1366329849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 LAMPLIGHTER LN",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063034",
            "telephone_number": "215-510-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 W EAGLE RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190831447",
            "telephone_number": "610-890-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "FAUSTINA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG004301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havertown, PA

Sources for this page

Verify at the official NPI Registry.