Individual provider Active NPI

Tam Duong, O.D.

  • Optometrist
  • Orlando, FL
National Provider Identifier
1568908192
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 5301 Issued in FL
Practice address
5020 E Colonial Dr
Orlando, FL 32803-4312
Phone
(407) 895-6254
Fax
(407) 992-9365
NPI assigned
Jan 6, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 5301 FL Primary

Addresses

Primary practice location

5020 E Colonial Dr
Orlando, FL 32803-4312

Mailing address

5020 E Colonial Dr
Orlando, FL 32803-4312
Phone (407) 895-6254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170216002674 FL Practitioner - Optometry 5890078844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

5020 E Colonial Dr
Orlando, FL 32803-4312
Phone (407) 895-6254

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 5301FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Feb 1, 2017 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Feb 1, 2017 Accepting new patients

Locations

515 E Altamonte Dr
Ste 1024
Altamonte Springs, FL 32701
Phone (407) 831-1330

9428 W Colonial Dr
Ocoee, FL 34761
Phone (407) 291-1921

5020 E Colonial Dr
Orlando, FL 32803
Phone (321) 430-1266

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1568908192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5020 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034312",
            "telephone_number": "407-895-6254",
            "fax_number": "407-992-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 E COLONIAL DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034312",
            "telephone_number": "407-895-6254",
            "fax_number": "407-992-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "TAM",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 5301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.