Individual provider Active NPI

Andreana Ngoc Huynh, OD

  • Optometrist
  • Lebanon, TN
National Provider Identifier
1467336560
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3955 Issued in TN
Practice address
404 N Castle Heights Ave Ste a
Lebanon, TN 37087-1512
Phone
(615) 449-0541
NPI assigned
Aug 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3955 TN Primary

Addresses

Primary practice location

404 N Castle Heights Ave Ste a
Lebanon, TN 37087-1512

Mailing address

404 N Castle Heights Ave Ste a
Lebanon, TN 37087-1512

Other practice location 1

4130 Andrew Jackson Pkwy
Hermitage, TN 37076-2203
Phone (615) 885-2027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20251002004724 TN Practitioner - Optometry 7315443892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2820 22ND Ave S Apt B
Nashville, TN 37215-1202

404 N Castle Heights Ave
Suite a
Lebanon, TN 37087-1512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gillispie Eye Care PLLC Optometrist CurrentSince Sep 17, 2025 Accepting new patients

Locations

4130 Andrew Jackson Pkwy
Hermitage, TN 37076
Phone (615) 885-2027

404 N Castle Heights Ave
Ste A
Lebanon, TN 37087
Phone (615) 449-0541

404 N Castle Heights Ave
Lebanon, TN 37087
Phone (615) 327-2001

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": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1467336560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N CASTLE HEIGHTS AVE STE A",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N CASTLE HEIGHTS AVE STE A",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370871512",
            "telephone_number": "615-449-0541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4130 Andrew Jackson Pkwy",
            "address_purpose": "LOCATION",
            "city": "Hermitage",
            "state": "TN",
            "postal_code": "370762203",
            "country_code": "US",
            "telephone_number": "615-885-2027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "ANDREANA",
        "middle_name": "NGOC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "3955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.