Individual provider Active NPI

Thy A Nguyen, O.D.

  • Optometrist
  • Fort Myers, FL
National Provider Identifier
1477646644
Registry record updated Dec 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3567 Issued in FL
Practice address
12731 New Brittany Blvd
Fort Myers, FL 33907-3632
Phone
(239) 418-0999
Fax
(239) 418-0091
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 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 OPC3567 FL Primary

Addresses

Primary practice location

12731 New Brittany Blvd
Fort Myers, FL 33907-3632

Mailing address

12731 New Brittany Blvd
Fort Myers, FL 33907-3632
Phone (239) 418-0999

Other identifiers 4

IdentifierTypeStateIssuer
620580100MedicaidFL
OPC3567OtherFLOD LICENSE
36002OtherFLBLUE CROSS
P01541812OtherFLRAIL ROAD MEDICARE

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
I20070724000065 FL Practitioner - Optometry 7911008792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan M Frantz, MD PAGroup PAC ID 9234039140, 25 clinicians

Practice addresses (Care Compare)

3515 Del Prado S Blvd
Suite 104
Cape Coral, FL 33904-7289
Phone (239) 542-4123

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan M Frantz, MD PA CurrentSince Sep 1, 2015 Accepting new patients
Gulf Coast Optometry, PA CurrentSince Mar 24, 2015 Accepting new patients
National Vision, Inc. Past Accepting new patients
Jonathan M Frantz, MD PA Past Accepting new patients
Jonathan M Frantz, MD PA PastSince Sep 1, 2015 Accepting new patients
Jonathan M Frantz, MD PA PastSince Feb 18, 2024 Accepting new patients
National Vision, Inc. PastSince Mar 24, 2015 Accepting new patients
Nova Southeastern University, Inc Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

3515 Del Prado Blvd S
Ste 104
Cape Coral, FL 33904
Phone (239) 542-4123

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

12731 New Brittany Blvd
Fort Myers, FL 33907
Phone (941) 418-0999

3020 Lee Blvd
Lehigh Acres, FL 33971
Phone (239) 369-2010

2500 Goodlette-Frank Rd N
Naples, FL 34103
Phone (239) 430-3939

7075 Radio Rd
Naples, FL 34104
Phone (239) 455-4500

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

109 Taylor St
Punta Gorda, FL 33950
Phone (941) 505-2020

9617 Gulf Research Ln
South Fort Myers, FL 33912
Phone (239) 418-0262

Organizations & group practices 8

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449532800000",
    "number": "1477646644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12731 NEW BRITTANY BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073632",
            "telephone_number": "239-418-0999",
            "fax_number": "239-418-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12731 NEW BRITTANY BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339073632",
            "telephone_number": "239-418-0999",
            "fax_number": "239-418-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620580100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OD LICENSE",
            "identifier": "OPC3567",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "36002",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P01541812",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.