Organization Active NPI

Dr Allyssa M Nguyen OD PLLC

  • Optometrist
  • Front Royal, VA
National Provider Identifier
1639952732
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR ALLYSSA M NGUYEN OD PLLC
Practice address
10 Riverton Commons Dr
Front Royal, VA 22630-6718
Phone
(540) 690-4410
NPI assigned
Aug 14, 2023
Last updated
Aug 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Allyssa M Nguyen, ODNPI 1942512579
Title
Optometrist/Member
Phone
(703) 371-9544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

10 Riverton Commons Dr
Front Royal, VA 22630-6718

Mailing address

8403 Carneros Valley CT
Bristow, VA 20136-5121
Phone (703) 371-9544

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231011003442 VA Part B Supplier - Clinic/Group Practice 5799130712 Receives reassigned benefits from 1 practitioner
Practice locations: Front Royal, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1639952732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 CARNEROS VALLEY CT",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201365121",
            "telephone_number": "703-371-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RIVERTON COMMONS DR",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226306718",
            "telephone_number": "540-690-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ALLYSSA M NGUYEN OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ALLYSSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST/MEMBER",
        "authorized_official_telephone_number": "703-371-9544",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.