Individual provider Active NPI

Elisabeth L Nguyen, O.D.

  • Optometrist
  • Sunrise, FL
National Provider Identifier
1447282157
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3147 Issued in FL
Practice address
10284 NW 47TH St
Sunrise, FL 33351-7967
Phone
(954) 578-3732
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3147 FL Primary

Addresses

Primary practice location

10284 NW 47TH St
Sunrise, FL 33351-7967

Mailing address

10284 NW 47TH St
Sunrise, FL 33351-7967
Phone (954) 578-3732

Other identifiers 1

IdentifierTypeStateIssuer
08693300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20060816000163 FL Practitioner - Optometry 8426051269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3147FLMDOptometrist
006568NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bransgrove & Associates PA Optometrist CurrentSince Apr 13, 2006 Accepting new patients
Empire Vision Center, Inc Past Accepting new patients
Empire Vision Center Inc Optometrist Past Accepting new patients

Locations

13900 NE 3rd Ct
North Miami, FL 33161
Phone (305) 893-2288

10284 NW 47th St
Sunrise, FL 33351
Phone (954) 349-6068

Organizations & group practices 3

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1447282157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10284 NW 47TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517967",
            "telephone_number": "954-578-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10284 NW 47TH ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517967",
            "telephone_number": "954-578-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ELISABETH",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08693300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.