Individual provider Active NPI

Christina Vy Ngo, OD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1467027797
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011550 Issued in IL
Practice address
3125 S Ashland Ave Ste 204
Chicago, IL 60608-6231
Phone
(773) 890-1100
NPI assigned
May 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X 046011550 IL Primary

Addresses

Primary practice location

3125 S Ashland Ave Ste 204
Chicago, IL 60608-6231

Mailing address

1128 W Lill Ave Unit 2
Chicago, IL 60614-2207
Phone (469) 766-5110

Other practice location 1

3420 K Ave Ste 153
Plano, TX 75074-2330
Phone (972) 943-0004

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Optometric Associates P C Optometrist CurrentSince Sep 10, 2021 Accepting new patients

Locations

3125 S Ashland Ave
Ste 204
Chicago, IL 60608
Phone (773) 890-1100

Organizations & group practices 1

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": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1467027797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 W LILL AVE UNIT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142207",
            "telephone_number": "469-766-5110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 S ASHLAND AVE STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086231",
            "telephone_number": "773-890-1100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3420 K Ave Ste 153",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750742330",
            "country_code": "US",
            "telephone_number": "972-943-0004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGO",
        "first_name": "CHRISTINA",
        "middle_name": "VY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-10-14",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.