Individual provider Active NPI

Allison Nguyen

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1376174953
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009016 Issued in NY
Practice address
66 Patchen Ave Apt 5
Brooklyn, NY 11221-2867
Phone
(714) 417-1605
NPI assigned
Jan 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009016 NY Primary

Addresses

Primary practice location

66 Patchen Ave Apt 5
Brooklyn, NY 11221-2867

Mailing address

66 Patchen Ave Apt 5
Brooklyn, NY 11221-2867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20211110000552 NY Practitioner - Optometry 0941699185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Overstock Goods Liquidators IncGroup PAC ID 1052669942, 3 clinicians

Practice addresses (Care Compare)

1511 Fulton St
Apt 1
Brooklyn, NY 11216-5352
Phone (347) 770-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009016NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Overstock Goods Liquidators Inc Optometrist CurrentSince Aug 10, 2021 Accepting new patients
Iea Chelsea LLC Optometrist Past Accepting new patients

Organizations & group practices 2

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": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1376174953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 PATCHEN AVE APT 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112212867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 PATCHEN AVE APT 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112212867",
            "telephone_number": "714-417-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ALLISON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.