Active NPI
Tri Nguyen, O.D.
- Optometrist
- Pensacola, FL
National Provider Identifier
1689057366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5084
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 49 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-298-TA-C19 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Florida Optometry LLC | Optometrist | Current | Accepting new patients |
| James William Andrews, OD | Optometrist | Past | 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.
-
- Optometrist
- Pensacola, FL
- NPI 1043497209
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.