Individual provider Active NPI

Dao Joanna Anh Nguyen, O.D.

  • Optometrist
  • Houma, LA
National Provider Identifier
1669221065
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2032-978AT Issued in LA
Practice address
130 Enterprise Dr
Houma, LA 70360-2443
Phone
(985) 872-2020
Fax
(985) 872-2069
NPI assigned
May 16, 2024
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2032-978AT LA Primary

Addresses

Primary practice location

130 Enterprise Dr
Houma, LA 70360-2443

Mailing address

11420 Tanner S Davis Dr
New Orleans, LA 70128-5214
Phone (504) 303-1020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20240831000270 LA Practitioner - Optometry 2860931011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

130 Enterprise Dr
Houma, LA 70360-2443
Phone (985) 872-2020

13322 Hwy 90
Suite L
Boutte, LA 70039-3010
Phone (985) 807-1373

1844 N Causeway Blvd
Mandeville, LA 70471-3112
Phone (985) 327-2230

837 S Clearview Pkwy
Jefferson, LA 70121-3119
Phone (504) 230-0871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Artis Beatty a Professional Optometry Corporation Optometrist CurrentSince Aug 19, 2024 Accepting new patients
Artis Beatty a Professional Optometry Corporation Optometrist CurrentSince Aug 19, 2024 Accepting new patients
Artis Beatty a Professional Optometry Corporation Optometrist Current Accepting new patients
Artis Beatty a Professional Optometry Corporation Optometrist Past Accepting new patients

Locations

13322 Highway 90
Ste L
Boutte, LA 70039
Phone (985) 785-8484

130 Enterprise Dr
Houma, LA 70360
Phone (985) 872-2020

817 W Esplanade Ave
Kenner, LA 70065
Phone (504) 712-3551

1844 N Causeway Blvd
Mandeville, LA 70471
Phone (985) 626-8103

3200 Severn Ave
Metairie, LA 70002
Phone (504) 541-9025

4004 Magazine St
New Orleans, LA 70115
Phone (504) 899-3937

8040 Saint Charles Ave
New Orleans, LA 70118
Phone (504) 866-6311

837 S Clearview Pkwy
New Orleans, LA 70121
Phone (504) 230-0871

170 Northshore Blvd
Ste C
Slidell, LA 70460
Phone (985) 641-1228

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 4

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": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1669221065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 TANNER S DAVIS DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701285214",
            "telephone_number": "504-303-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ENTERPRISE DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602443",
            "telephone_number": "985-872-2020",
            "fax_number": "985-872-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DAO JOANNA",
        "middle_name": "ANH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "2032-978AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.