Individual provider Active NPI

Julie Thu Nguyen, OD

  • Optometrist
  • Scarsdale, NY
National Provider Identifier
1538894043
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009607 Issued in NY
Practice address
1098 Wilmot Rd
Scarsdale, NY 10583-6863
Phone
(914) 472-5932
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009607 NY Primary

Addresses

Primary practice location

1098 Wilmot Rd
Scarsdale, NY 10583-6863

Mailing address

2100 77TH St Apt 2
East Elmhurst, NY 11370-1471
Phone (510) 516-9690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220907000168 NY Practitioner - Optometry 4789068990 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009607NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Zlatin Optometrist, PC Optometrist CurrentSince Jul 21, 2022 Accepting new patients

Locations

1098 Wilmot Rd
Scarsdale, NY 10583
Phone (914) 472-5932

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.

NPI Registry JSON

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1538894043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 77TH ST APT 2",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701471",
            "telephone_number": "510-516-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 WILMOT RD",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105836863",
            "telephone_number": "914-472-5932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JULIE",
        "middle_name": "THU",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.