Individual provider Active NPI

Tri Nguyen, O.D.

  • Optometrist
  • Pensacola, FL
National Provider Identifier
1689057366
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5084 Issued in FL
Practice address
5062 Mobile Hwy
Pensacola, FL 32506-3240
Phone
(850) 453-4373
Fax
(850) 453-1953
NPI assigned
Jun 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X R-298-TA-C19 AL
Optometrist 152W00000X OPC5084 FL Primary

Addresses

Primary practice location

5062 Mobile Hwy
Pensacola, FL 32506-3240

Mailing address

5062 Mobile Hwy
Pensacola, FL 32506-3240
Phone (850) 453-4373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151218000162 FL Practitioner - Optometry 0648571539 Reassigns benefits to 2 organizations
I20211014003013 AL Practitioner - Optometry 0648571539

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5062 Mobile Hwy
Pensacola, FL 32506-3240
Phone (850) 453-4373

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R-298-TA-C19ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Optometry LLC Optometrist CurrentSince Apr 27, 2023 Accepting new patients
James William Andrews, OD Optometrist PastSince Apr 28, 2023 Accepting new patients

Locations

5062 Mobile Hwy
Pensacola, FL 32506
Phone (850) 453-4373

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1689057366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5062 MOBILE HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325063240",
            "telephone_number": "850-453-4373",
            "fax_number": "850-453-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5062 MOBILE HWY",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325063240",
            "telephone_number": "850-453-4373",
            "fax_number": "850-453-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRI",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "R-298-TA-C19",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.