Ha Thi Nguyen, OD
Individual provider Active NPI Optometrist · Sumiton, AL
NPI 1497913982 · NPPES record last updated May 30, 2008
Key facts
- NPI
- 1497913982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- SB11-TA697 (AL)
- Practice address
- 690 Highway 78
Sumiton, AL 35148 - Phone
- (205) 648-0371
- NPI assigned
- May 30, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SB11-TA697 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Family Optometry P.C. | Optometrist | Past | Accepting new patients |
| Hall Eye Care Center L.L.C. | Optometrist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | SB11-TA697 | AL | Yes |
Addresses
Primary practice location
690 Highway 78
Sumiton, AL 35148
Mailing address
PO Box 252
Fultondale, AL 35068
Phone (205) 648-0371
Other providers in Sumiton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.