Tam Nguyen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002584 Issued in VA

Practice address

1401 Greenbrier Pkwy Ste 2112
Chesapeake, VA 23320-2870

Phone

(757) 420-0602

Fax

(757) 420-9209

NPI assigned

Jul 21, 2017

Last updated

Apr 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Specialty

Optometry

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Tam Nguyen OD PLLC

  dba Visionary Eye Care

  • Optometrist
  • Elizabeth City, NC
  • NPI 1508414616
  Medicare reassignment NPD Authorized official
• Harbor Eyecare, LLC

  • Optometrist
  • Chesapeake, VA
  • NPI 1306351747
  Authorized official Same address or phone

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1689197568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 GREENBRIER PKWY STE 2122",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 GREENBRIER PKWY STE 2112",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202870",
            "telephone_number": "757-420-0602",
            "fax_number": "757-420-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-21",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teneka Qysha Newsome
• Ashley E Nguyen, PTA
• Katherine Nguyen, PA-C
• Phuong Uyen Thoai Nguyen, FNP-BC
• Rita Pham Nguyen
• Thuy Nguyen, PHARMD
• Tien T Nguyen, FNP-C
• Van Thi Nguyen, M.D.
• Victoria Nguyen, RPH
• Bethanie Lynn Nice, NP

• Optometrist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.

Verify at the official NPI Registry.