Individual provider Active NPI

Xuan Thuy Thi Nguyen, OD

  • Optometrist
  • Davie, FL
National Provider Identifier
1386324630
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6315 Issued in FL
Practice address
2279 S University Dr
Davie, FL 33324-5828
Phone
(954) 474-9823
NPI assigned
Jul 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6315 FL Primary

Addresses

Primary practice location

2279 S University Dr
Davie, FL 33324-5828

Mailing address

11737 NW 5TH St
Plantation, FL 33325-1909
Phone (954) 629-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230820000060 FL Practitioner - Optometry 6103288352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Laura Falco OD LLCGroup PAC ID 1153655527, 2 clinicians

Practice addresses (Care Compare)

2279 S University Dr
Davie, FL 33324-5828
Phone (954) 473-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6315FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Laura Falco, O.D. LLC Optometrist CurrentSince Jul 21, 2023 Accepting new patients

Locations

2279 S University Dr
Davie, FL 33324
Phone (954) 473-0100

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": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1386324630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11737 NW 5TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333251909",
            "telephone_number": "954-629-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2279 S UNIVERSITY DR",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333245828",
            "telephone_number": "954-474-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "XUAN THUY",
        "middle_name": "THI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

Verify at the official NPI Registry.