Vinh Phuc Nguyen, OD60724663

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60724663 Issued in WA

Practice address

762 Outlet Collection Dr SW
Auburn, WA 98001-6582

Phone

(253) 804-3264

Fax

(253) 804-1065

NPI assigned

Feb 12, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1427596352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 PIERCE CT NE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980563536",
            "telephone_number": "206-412-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 OUTLET COLLECTION DR SW",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980016582",
            "telephone_number": "253-804-3264",
            "fax_number": "253-804-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VINH",
        "middle_name": "PHUC",
        "credential": "OD60724663",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-12",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60724663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2079522",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ngocthuy Nguyen, RN
• Nhu Ai Jennifer H Nguyen, PHARMD
• Nhung Viet Nguyen, N.D.
• Quynh-Giao Thy Nguyen, PHARM D
• Tran Thanh Nguyen, PHARMD
• Vivi Nguyen, MS
• Vy Kim Nguyen
• Ann J. Nicewonger
• Rachel L Nichols, LMP
• Jeffrey R Nielsen, MSW,MHP,RC

• Optometrist in Auburn, WA
• Providers in Auburn, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.