Active NPI
Duc Qui Nguyen, O.D.
- Optometrist
- McLean, VA
National Provider Identifier
1417079575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618-000735
- Practice address
- 6849 Old Dominion Dr
Suite 300
McLean, VA 22101-3724 - Phone
- (703) 442-0522
- Fax
- (703) 442-0525
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 0618-000735 | VA | Primary |
| Vision Therapy Optometrist | 152WV0400X | 0618-000735 | VA |
Addresses
Primary practice location
6849 Old Dominion Dr
Suite 300
McLean, VA 22101-3724
Mailing address
6849 Old Dominion Dr
Suite 300
McLean, VA 22101-3724
Phone (703) 442-0522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116445 | Other | VA | BC BS PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0618-000735 | VA | MD | Vision Therapy Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1417079575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6849 OLD DOMINION DR",
"address_2": "SUITE 300",
"city": "MCLEAN",
"state": "VA",
"postal_code": "221013724",
"telephone_number": "703-442-0522",
"fax_number": "703-442-0525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6849 OLD DOMINION DR",
"address_2": "SUITE 300",
"city": "MCLEAN",
"state": "VA",
"postal_code": "221013724",
"telephone_number": "703-442-0522",
"fax_number": "703-442-0525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DUC",
"middle_name": "QUI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618-000735",
"primary": true
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "VA",
"license": "0618-000735",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS PIN",
"identifier": "116445",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McLean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.