Individual provider Active NPI

Minhthu Nguyen, O.D

  • Optometrist
  • Carthage, MS
National Provider Identifier
1639528912
Registry record updated Apr 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
967 Issued in MS
Practice address
201 Highway 16 E
Carthage, MS 39051-4203
Phone
(601) 267-9351
NPI assigned
Jun 8, 2016
Last updated
Apr 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S-D54 AL
Optometrist 152W00000X 967 MS Primary

Addresses

Primary practice location

201 Highway 16 E
Carthage, MS 39051-4203

Mailing address

201 Highway 16 E
Carthage, MS 39051-4203
Phone (601) 267-9351

Other practice location 1

1651 Schillinger Rd N
Semmes, AL 36575-7409
Phone (251) 706-7960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20220302001820 AL Practitioner - Optometry 7012289036 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S-D54ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Eye Care of Flowood, PA Optometrist CurrentSince Aug 6, 2019 Accepting new patients
Alabama Family Eye Care Optometrist CurrentSince Oct 20, 2021 Accepting new patients

Locations

5356 Stadium Trace Pkwy
#10
Hoover, AL 35244

5356 Stadium Trace Pkwy
Ste 100
Hoover, AL 35244
Phone (205) 733-0507

201 Highway 16 E
Carthage, MS 39051
Phone (601) 267-9351

Interoperability endpoints

  • Direct secure messaging: tnguyen@carthageeyeclinic.eyefinity-direct.com

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, 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": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1639528912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HIGHWAY 16 E",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390514203",
            "telephone_number": "601-267-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HIGHWAY 16 E",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390514203",
            "telephone_number": "601-267-9351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1651 Schillinger Rd N",
            "address_purpose": "LOCATION",
            "city": "Semmes",
            "state": "AL",
            "postal_code": "365757409",
            "country_code": "US",
            "telephone_number": "251-706-7960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MINHTHU",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-D54",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, MS

Sources for this page

Verify at the official NPI Registry.