Individual provider Active NPI

Quan-Vinh Ba Nguyen, OD

  • Optometrist
  • Clifton Park, NY
National Provider Identifier
1548746241
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
008836 Issued in NY
Practice address
54 The Crossings, Ste X & Y
Clifton Park, NY 12065-4193
Phone
(518) 373-2200
Fax
(518) 373-2350
NPI assigned
Jul 16, 2018
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1707 NE
Optometrist 152W00000X 4901005996 MI
Optometrist 152W00000X 008836 NY Primary
Optometrist 152W00000X OPT.0003994 CO
Optometrist 152W00000X 4093 MN

Addresses

Primary practice location

54 The Crossings, Ste X & Y
Clifton Park, NY 12065-4193

Mailing address

4441 E Palm Ave
Orange, CA 92869-2923
Phone (714) 771-0914

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181016002776 NY Practitioner - Optometry 7113279357 Reassigns benefits to 2 organizations
I20250403001544 CO Practitioner - Optometry 7113279357 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sowash Optometry Group PC Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Sightrite Inc Optometrist CurrentSince Jul 1, 2020 Accepting new patients
Empire Vision Center, Inc CurrentSince Sep 1, 2018 Accepting new patients
Empire Vision Center Inc Optometrist CurrentSince Sep 1, 2018 Accepting new patients
Sowash Optometry Group, PC Optometrist CurrentSince Apr 1, 2025 Accepting new patients
Empire Vision Center Inc Optometrist Past Accepting new patients

Locations

6252 S Central St
Aurora, CO 80016
Phone (303) 693-0333

9078 Westview Rd
Lone Tree, CO 80124
Phone (303) 662-8977

4206 N Freeway Rd
Pueblo, CO 81008
Phone (719) 253-2538

267 Broadway
Fl 2
Brooklyn, NY 11211
Phone (716) 912-5877

2680 Delaware Ave
Ste C
Buffalo, NY 14216
Phone (716) 873-1241

54 Crossing Blvd
#X
Clifton Park, NY 12065
Phone (518) 373-2200

54 Crossing Blvd
Ste X
Clifton Park, NY 12065
Phone (518) 373-2200

7144 Yellowstone Blvd
Forest Hills, NY 11375
Phone (718) 544-4300

560 Troy Schenectady Rd
#7
Latham, NY 12110
Phone (518) 783-0090

1930 South Rd
#105
Poughkeepsie, NY 12601
Phone (845) 298-3200

2590 W Ridge Rd
Rochester, NY 14626
Phone (585) 227-7150

2921 Erie Blvd E
Syracuse, NY 13224
Phone (315) 446-3145

134 Great East Neck Rd
West Babylon, NY 11704
Phone (631) 321-3850

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1548746241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4441 E PALM AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928692923",
            "telephone_number": "714-771-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 THE CROSSINGS, STE X & Y",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120654193",
            "telephone_number": "518-373-2200",
            "fax_number": "518-373-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "QUAN-VINH",
        "middle_name": "BA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-16",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1707",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005996",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "008836",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "OPT.0003994",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "4093",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.