Active NPI
Tu Quynh Thi Nguyen, O.D.
- Optometrist
- Dorchester, MA
National Provider Identifier
1598730137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- MA4294
- Practice address
- 1558 Dorchester Ave
Unit 1R
Dorchester, MA 02122-1354 - Phone
- (617) 288-0888
- NPI assigned
- Feb 17, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- 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 | MA4294 | MA | Primary |
Addresses
Primary practice location
1558 Dorchester Ave
Unit 1R
Dorchester, MA 02122-1354
Mailing address
121 Centre St
Unit 203
Brookline, MA 02446-2878
Phone (617) 232-5118
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0700525 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1676 Dorchester Ave
Dorchester, MA 02122-1324
Phone (617) 288-0888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA4294 | MA | MD | Optometrist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Dorchester, MA
- NPI 1396152047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1598730137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 CENTRE ST",
"address_2": "UNIT 203",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024462878",
"telephone_number": "617-232-5118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1558 DORCHESTER AVE",
"address_2": "UNIT 1R",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021221354",
"telephone_number": "617-288-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TU QUYNH",
"middle_name": "THI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "MA4294",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0700525",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.