Individual provider Active NPI

Jason Vinh Nguyen, MD

  • Ophthalmology Physician
  • Oklahoma City, OK
National Provider Identifier
1679000749
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
32976 Issued in OK
Practice address
4200 W Memorial Rd Ste 101
Oklahoma City, OK 73120-8305
Phone
(405) 749-4280
NPI assigned
May 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 32976 OK Primary

Addresses

Primary practice location

4200 W Memorial Rd Ste 101
Oklahoma City, OK 73120-8305

Mailing address

4200 W Memorial Rd Ste 101
Oklahoma City, OK 73120-8305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210722000462 OK Practitioner - Ophthalmology 5890047898 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jay C. Johnston, M. D., IncGroup PAC ID 0143491506, 2 clinicians
RGH Eye Clinic PLLCGroup PAC ID 0042703084, 6 clinicians

Practice addresses (Care Compare)

4200 W Memorial Rd
Suite 101
Oklahoma City, OK 73120-8305
Phone (405) 749-4280

4214 SW Lee Blvd
Lawton, OK 73505-8340
Phone (580) 353-5860

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32976OKMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jay C. Johnston, M. D., Inc Ophthalmology CurrentSince Aug 21, 2023 Accepting new patients
RGH Eye Clinic PLLC CurrentSince Dec 20, 2025 Accepting new patients
Britton Vision Associates Inc Ophthalmology CurrentSince Aug 16, 2021 Accepting new patients
Dr. Curt Massengale & Associates Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

14701 N Santa Fe Ave
Edmond, OK 73013
Phone (405) 752-2733

1710 W 3rd St
Ste 100
Elk City, OK 73644
Phone (580) 255-1555

100 McDougal Dr
Holdenville, OK 74848
Phone (405) 379-4200

4214 SW Lee Blvd
Lawton, OK 73505
Phone (580) 353-5860

3151 W Tecumseh Rd
Ste 230
Norman, OK 73072
Phone (405) 310-3088

4200 W Memorial Rd
Ste 101
Oklahoma City, OK 73120
Phone (405) 749-4280

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1679000749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD STE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD STE 101",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208305",
            "telephone_number": "405-749-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JASON",
        "middle_name": "VINH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-18",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "32976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.