Ngoc DO-Bizzell OD, PSC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1582DTKY Issued in KY

Legal business name

NGOC DO-BIZZELL OD, PSC

Practice address

1015 New Moody LN
La Grange, KY 40031-9142

Phone

(502) 222-2889

Fax

(844) 305-1011

NPI assigned

Jul 25, 2007

Organization subpart

No

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

Authorized official

Name

Ngoc C DO-Bizzell, ODNPI 1215006770

Title

Owner/President

Phone

(502) 222-2889

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 1

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

• Ngoc C DO-Bizzell, OD

  • Optometrist
  • Lagrange, KY
  • NPI 1215006770
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1689874885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 NEW MOODY LN",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319142",
            "telephone_number": "502-222-2889",
            "fax_number": "502-222-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 NEW MOODY LN",
            "city": "LA GRANGE",
            "state": "KY",
            "postal_code": "400319142",
            "telephone_number": "502-222-2889",
            "fax_number": "844-305-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGOC DO-BIZZELL OD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "DO-BIZZELL",
        "authorized_official_first_name": "NGOC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "502-222-2889",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1582DTKY",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77001022",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215006770",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Murphy
• Jennifer Murphy, LPCC-S
• Steffany Nicole Neie, RPH
• Neuwave Care and Rehabilitation Center
• New Bay Dialysis LLC
• Charles Richard Noplis II, M.D.
• Northeast Joint Venture, LLC
• Chelsea Northrip
• Michael Raymond Norville, DO
• Selina Ann O'Coffey, LMFT

• Optometrist in La Grange, KY
• Providers in La Grange, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.