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

Last updated

Feb 9, 2021By the provider in NPPES

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

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• American Healthy Vision Clinic

  dba Primary Eye Care

  • Optometrist
  • Auburn, WA
  • NPI 1902330343
  Authorized official Same address or phone

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": [],
    "endpoints": [],
    "other_names": []
}

• Mimi Nguyen
• Ngocthuy Nguyen, RN
• Nhu Ai Jennifer H Nguyen, PHARMD
• 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.