Individual provider Active NPI

Duc Qui Nguyen, O.D.

  • Optometrist
  • McLean, VA
National Provider Identifier
1417079575
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618-000735 Issued in VA
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
116445OtherVABC 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

LicenseStateTypeSpecialty
0618-000735VAMDVision 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.

Verify at the official NPI Registry.