Ellen M Nguyen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1606638AT Issued in LA

Practice address

4858 Highway 1
Raceland, LA 70394

Phone

(985) 532-3939

NPI assigned

Jul 12, 2010

Last updated

Jun 28, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Heitmeier and Armani Medical and Surgical Eyecare LLCGroup PAC ID 3870490519, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ellen Nguyen OD LLC

  • Optometrist
  • Raceland, LA
  • NPI 1184119513
  Medicare reassignment NPD Authorized official
• Heitmeier & Armani Medical & Surgical Eyecare LLC

  • Optometrist
  • New Orleans, LA
  • NPI 1578649141
  Medicare reassignment Care Compare group NPD (past)
• Glen C. Cangelosi MD LLC

  • Ophthalmology Physician
  • New Orleans, LA
  • NPI 1972645448

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1366754996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 AVENUE A",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242144",
            "telephone_number": "504-905-2377",
            "fax_number": "312-949-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4858 HIGHWAY 1",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "70394",
            "telephone_number": "985-532-3939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3241 S Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606163878",
            "country_code": "US",
            "telephone_number": "312-949-7211",
            "fax_number": "312-949-7389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ELLEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010392",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "1606638AT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046010392",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2177401",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Murray Joseph Morella, FNP-C
• Gregory P Morris, MD
• Stephen Bruce Morris, MD
• Mohammad Aseem Nawaz, MD
• Dante Doan Nguyen, PHARMD., RPH.
• Ochsner Bayou LLC (Ochsner St Anne General Hospital)
• Ochsner Bayou LLC (Ochsner St Anne General Hospital)
• Ochsner Bayou LLC (Ochsner St. Anne General Hospital)
• Ochsner Bayou LLC (Ochsner St Anne General Hospital)
• Ochsner Bayou LLC (Ochsner St Anne General Hospital)

• Optometrist in Raceland, LA
• Providers in Raceland, LA by specialty
• Optometrist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.

Verify at the official NPI Registry.