Kathy Kim Nguyen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003640 Issued in GA

Practice address

1342 Auburn Rd Ste 112
Dacula, GA 30019-1675

Phone

(770) 237-8150

NPI assigned

Oct 3, 2024

Last updated

Feb 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Optometry

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eyewatch Eye Care and Associates LLC

  • Optometrist
  • Buford, GA
  • NPI 1205127925
  Medicare reassignment NPD
• Victory Eyecare LLC

  • Optometrist
  • Dacula, GA
  • NPI 1164695045
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1508685835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 AUBURN RD STE 112",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 AUBURN RD STE 112",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191675",
            "telephone_number": "770-237-8150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Mall Of Georgia Blvd",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305196551",
            "country_code": "US",
            "telephone_number": "678-288-3024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KATHY",
        "middle_name": "KIM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6578",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neuro Nest ABA Therapy
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• New Life Progressive Health (New Life Wellness with Rabia)
• David Newsome Jr.
• Nicely Health Services LLC
• Rachel Elizabeth Nisbet, M.D.
• North Atlanta Podiatry GRP,PC (Foot and Ankle Centers of NE Ga)
• North Ga Home Care (Synergy Home Care of North Georgia)
• North Georgia Infusion and Medical Solutions

• Optometrist in Dacula, GA
• Providers in Dacula, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.