Active NPI
Mylee Nguyen, O.D.
- Optometrist
- Bothell, WA
National Provider Identifier
1699111518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD.OD.60374410
- Practice address
- 18920 Bothell Way NE
Suite 203
Bothell, WA 98011-1981 - Phone
- (425) 213-1016
- Fax
- (425) 949-4491
- NPI assigned
- May 18, 2013
- Last updated
- Jul 31, 2013
- Sex
- Female
- Sole proprietor
- No
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 | OD.OD.60374410 | WA | Primary |
Addresses
Primary practice location
18920 Bothell Way NE
Suite 203
Bothell, WA 98011-1981
Mailing address
18920 Bothell Way NE
Bothell, WA 98011-1981
Phone (425) 213-1016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD.OD.60374410 | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1699111518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18920 BOTHELL WAY NE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980111981",
"telephone_number": "425-213-1016",
"fax_number": "425-949-4491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18920 BOTHELL WAY NE",
"address_2": "SUITE 203",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980111981",
"telephone_number": "425-213-1016",
"fax_number": "425-949-4491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MYLEE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-18",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "OD.OD.60374410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.