Individual provider Active NPI

Hien Nguyen, O.D.

  • Optometrist
  • Gloucester, VA
National Provider Identifier
1427021682
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000951 Issued in VA
Practice address
6651 Main St
Gloucester, VA 23061-5194
Phone
(804) 694-4999
Fax
(804) 694-4999
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000951 VA Primary

Addresses

Primary practice location

6651 Main St
Gloucester, VA 23061-5194

Mailing address

6651 Main St
Gloucester, VA 23061-5194
Phone (804) 694-4999

Other identifiers 1

IdentifierTypeStateIssuer
1427021682MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20050314001031 VA Practitioner - Optometry 9335194299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6651 Main St
Gloucester, VA 23061-5194
Phone (804) 694-4999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Max Inc Optometrist CurrentSince Dec 27, 2012 Accepting new patients
Eyemax, Inc. Optometrist PastSince Dec 27, 2012 Accepting new patients

Locations

6651 Main St
Gloucester, VA 23061
Phone (757) 637-8243

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1427021682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6651 MAIN ST",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230615194",
            "telephone_number": "804-694-4999",
            "fax_number": "804-694-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 MAIN ST",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230615194",
            "telephone_number": "804-694-4999",
            "fax_number": "804-694-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HIEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427021682",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, VA

Sources for this page

Verify at the official NPI Registry.