Active NPI
Don P. Nguyen, O.D.
- Optometrist
- Montgomery, AL
National Provider Identifier
1538254164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-902-TA-452
- Practice address
- 6600 Atlanta Hwy
Montgomery, AL 36117 - Phone
- (334) 277-7751
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S-902-TA-452 | AL | Primary |
Addresses
Primary practice location
6600 Atlanta Hwy
Montgomery, AL 36117
Mailing address
3048 Ivy Chase Loop
Montgomery, AL 36117
Phone (702) 285-5573
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009989335 | Medicaid | AL | |
| 1538254164 | Medicaid | AL | |
| 51526460 | Other | AL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-902-TA-452 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Restoration LLC | Optometrist | Current | Accepting new patients |
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.
-
- Optometrist
- Mobile, AL
- NPI 1790472918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541462400000",
"number": "1538254164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3048 IVY CHASE LOOP",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36117",
"telephone_number": "702-285-5573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 ATLANTA HWY",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36117",
"telephone_number": "334-277-7751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "DON",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2018-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-902-TA-452",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009989335",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1538254164",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51526460",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.