Kelly T Nguyen

Primary specialty

OptometristTaxonomy code 152W00000X

License

002872 Issued in CT

Practice address

336 Main St
Ansonia, CT 06401-2303

Phone

(203) 732-3937

Fax

(203) 465-1481

NPI assigned

Aug 8, 2010

Last updated

Mar 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

New England College of Optometry, 2010

Medicare assignment

May accept Medicare assignment

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.

• Best Vision LLC

  • Optometrist
  • Ansonia, CT
  • NPI 1326649583
  Medicare reassignment Authorized official
• Myeyedr Optometry of Connecticut, LLC

  dba MyEyeDr.

  • Optometrist
  • Ansonia, CT
  • NPI 1396119194
  Medicare reassignment NPD
• Myeyedr Optometry of Connecticut, LLC

  dba MyEyeDr.

  • Optometrist
  • South Windsor, CT
  • NPI 1083254478
  NPD
• Myeyedr Optometry of Connecticut, LLC

  dba MyEyeDr.

  • Optometrist
  • Vernon, CT
  • NPI 1992207468
  NPD
• Robert a Brown

  • Optometrist
  • Rochester, NY
  • NPI 1689848582
  NPD (past)

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

{
    "created_epoch": "1281225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615680000000",
    "number": "1366757932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 GRANDVIEW AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082514",
            "telephone_number": "203-465-1415",
            "fax_number": "203-465-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 MAIN ST",
            "city": "ANSONIA",
            "state": "CT",
            "postal_code": "064012303",
            "telephone_number": "203-732-3937",
            "fax_number": "203-465-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KELLY",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-08",
        "last_updated": "2021-03-14",
        "certification_date": "2021-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007550",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raye Jethro Mutcherson II, PHARMD
• Myeyedr Optometry of Connecticut, LLC (MyEyeDr.)
• Natica Blake LLC
• Alexis Christine Nelson
• Next Step ABA Therapy
• Donna Nickdow, LCSW
• Dillon James O'Keefe, LMSW
• Monserrate O'Keefe, LADC
• Claudia I Odiaka, D.M.D.
• Paul I Odiwo, PHARM D

• Optometrist in Ansonia, CT
• Providers in Ansonia, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.
• 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.