Active NPI
Wendy Nguyen
- Optometrist
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9421669-9934
- Practice address
- 500 Foothill Drive Salt Lake City
Salt Lake City, UT 84148-0001 - Phone
- (801) 582-1565
- NPI assigned
- Jun 7, 2015
- Last updated
- Jun 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9421669-9934 | UT | Primary |
Addresses
Primary practice location
500 Foothill Drive Salt Lake City
Salt Lake City, UT 84148-0001
Mailing address
500 Foothill Drive Salt Lake City
Salt Lake City, UT 84148-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
695 S Green Valley Pkwy
Henderson, NV 89052-0404
Phone (702) 941-7898
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9421669-9934 | UT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miller and Miller, OD LTD | Optometrist | Current | Accepting new patients |
| John Chan O.D. PLLC | Optometrist | Current | Accepting new patients |
Locations
695 S Green Valley Pkwy
Henderson, NV 89052
Phone (702) 216-7101
6230 N Durango Dr
Las Vegas, NV 89149
Phone (702) 737-3937
8750 W Charleston Blvd
Las Vegas, NV 89117
Phone (702) 287-4642
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": "1433635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433635200000",
"number": "1679953400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 FOOTHILL DRIVE SALT LAKE CITY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841480001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 FOOTHILL DRIVE SALT LAKE CITY",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841480001",
"telephone_number": "801-582-1565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "WENDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-07",
"last_updated": "2015-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "9421669-9934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.