Dr. Mai X. Nguyen & Associates, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD 60167739 Issued in WA

Legal business name

DR. MAI X. NGUYEN & ASSOCIATES, PLLC

Doing business as

Issaquah Eye Care
Southcenter Eye Care

Practice address

755 NW Gilman Blvd
Suite G
Issaquah, WA 98027-5357

Phone

(425) 557-5530

Fax

(425) 427-8644

NPI assigned

Jul 23, 2011

Organization subpart

No

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

Authorized official

Name

Mai X. Nguyen, ODNPI 1417269978

Title

Optometric Physician

Phone

(425) 557-5530

Specialties & licenses 1

Addresses

Other names 2

• Issaquah Eye Care Doing business as
• Southcenter Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mai Xuan Nguyen, O.D.

  • Optometrist
  • Issaquah, WA
  • NPI 1417269978
  Medicare reassignment Care Compare group Authorized official
• Benjamin David Crowell, OD, FAAO

  • Optometrist
  • Renton, WA
  • NPI 1316252190
  Medicare reassignment Care Compare group
• Heidi Saechao, OD

  • Optometrist
  • Spokane, WA
  • NPI 1346975315
  Medicare reassignment NPD
• Jaclyn T Phan, O.D.

  • Corneal and Contact Management Optometrist
  • Bothell, WA
  • NPI 1114078235
  NPD (past)
• Kathryn S Thompson, OD

  • Optometrist
  • Lynnwood, WA
  • NPI 1265501431
  NPD (past)

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

{
    "created_epoch": "1311379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1679851737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 NW GILMAN BLVD",
            "address_2": "SUITE G",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275357",
            "telephone_number": "425-557-5530",
            "fax_number": "425-427-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NW GILMAN BLVD",
            "address_2": "SUITE G",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275357",
            "telephone_number": "425-557-5530",
            "fax_number": "425-427-8644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17250 Southcenter Pkwy Ste 128",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981883351",
            "country_code": "US",
            "telephone_number": "206-575-6623",
            "fax_number": "206-691-8723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. MAI X. NGUYEN & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-23",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MAI",
        "authorized_official_middle_name": "X.",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN",
        "authorized_official_telephone_number": "425-557-5530",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD 60167739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Issaquah Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southcenter Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr Sally D Bliss PHD PLLC
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• Dr. Dhaliwal DMD PLLC (Lake Sammamish Family Dentistry)
• Dr. Jennifer, PHD, PLLC
• Dr. Mary Glasser Inc (Naturopathic Clinic of Issaquah)
• Dr. Willis Gabel PLLC (Issaquah Endodontics)
• Cody Drake, D.C.
• Brooke Drennon
• Drskinb Medical PLLC

• Optometrist in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.