Nguyen Waterman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6520T Issued in TX

Practice address

1160 Varnum St NE Ste 11
Washington, DC 20017-2110

Phone

(202) 529-5200

NPI assigned

Jul 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

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, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chesapeake Eye Care and Laser Center LLCGroup PAC ID 2769460971, 79 clinicians

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 and National Provider Directory roles.

• Chesapeake Eye Care and Laser Center LLC

  • Ophthalmology Physician
  • Annapolis, MD
  • NPI 1548296262

  DC, Optometrist

  Medicare reassignment Care Compare group NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  • Health Maintenance Organization
  • Annapolis, MD
  • NPI 1952461816

  DC, Optometrist

  Medicare reassignment NPD
• Chesapeake Eye Care & Laser Center LLC

  • Ophthalmology Physician
  • McLean, VA
  • NPI 1760036206
  NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  • Health Maintenance Organization
  • MC Lean, VA
  • NPI 1376815472
  NPD
• Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockville, MD
  • NPI 1962108753
  NPD

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1528098415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY STE 320",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017901",
            "telephone_number": "410-571-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE STE 11",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172110",
            "telephone_number": "202-529-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11335 SSG Sims St.",
            "address_2": "Mendoza Optometry",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "79918",
            "country_code": "US",
            "telephone_number": "915-742-1301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 Telfair Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Camp Springs",
            "state": "MD",
            "postal_code": "207465217",
            "country_code": "US",
            "telephone_number": "301-423-5252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1635 N George Mason Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "22205",
            "country_code": "US",
            "telephone_number": "703-524-5777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1635 N George Mason Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "22205",
            "country_code": "US",
            "telephone_number": "703-524-5777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 2nd St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200028100",
            "country_code": "US",
            "telephone_number": "202-346-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATERMAN",
        "first_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6520T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OPTOMETRY BOARD",
            "identifier": "6520TG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1619",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lamy Whitney Wasso
• Chanunu T Wasswa
• Watergate Dental Associates Inc
• Ade Waterman, MBCHB
• Daniel H Waterman, M.D.
• Tamla C Waters Campbell, LMT
• Ashby Waters
• Crystal Marian Waters, FNP-BC
• Devin Alfano Waters, CPNP
• Glenda Waters

• Optometrist in Washington, DC
• Providers in Washington, DC by specialty
• Optometrist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.