Lisa Nguyen

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005645 Issued in MI

Practice address

5838 Metro Way SW
Wyoming, MI 49519-9619

Phone

(616) 249-5300

NPI assigned

Aug 29, 2022

Last updated

Apr 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, MI, OH, IN, IL5 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 5

Specialty

Optometry

Education

New England College of Optometry, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Greenville Eye Glass and Contacts IncGroup PAC ID 3678592268, 7 clinicians

Granite City Vision, Inc.Group PAC ID 2860523891, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 49)

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.

• Granite City Vision, Inc.

  • Preferred Provider Organization
  • Granite City, IL
  • NPI 1174756902

  Optometrist

  Medicare reassignment Care Compare group NPD
• Greenville Eyeglass & Contacts Inc

  • Optometrist
  • Greenville, IL
  • NPI 1104926674
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Michigan, LLC

  dba MyEyeDr.

  • Optometrist
  • Shelby Township, MI
  • NPI 1639723596
  Medicare reassignment NPD
• Visionworks, Inc

  dba Visionworks

  • Optometrist
  • Rochester Hills, MI
  • NPI 1366822991
  Medicare reassignment NPD
• Aea Eye Care LLC

  dba AEA Eye Care

  • Clinic/Center
  • Chicago, IL
  • NPI 1386121283
  Medicare reassignment NPD
• Aeg Ohio Professional PC

  • Optometrist
  • Solon, OH
  • NPI 1154980811
  Medicare reassignment NPD
• Clarkson Optometry Illinois, P.C.

  dba Clarkson Eyecare

  • Optometrist
  • Ballwin, MO
  • NPI 1548635758

  IL

  Medicare reassignment NPD
• Clarkson Optometry Midwest Inc

  dba Clarkson Eyecare

  • Optometrist
  • Centerville, OH
  • NPI 1073917597
  Medicare reassignment NPD
• Foley Vision Center LLC

  • Optometrist
  • Amesbury, MA
  • NPI 1063908960
  Medicare reassignment NPD
• Myeyedr Optometry of Indiana, LLC

  dba MyEyeDr.

  • Optometrist
  • Lebanon, IN
  • NPI 1083100424
  Medicare reassignment NPD
• Myeyedr Optometry of Massachusetts P C

  dba MyEyeDr.

  • Optometrist
  • Amherst, MA
  • NPI 1124534946
  Medicare reassignment NPD
• Myeyedr Optometry of Ohio, LLC

  dba MyEyeDr.

  • Optometrist
  • Dayton, OH
  • NPI 1902365448
  Medicare reassignment NPD

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1699495937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 DAYBREAK LN",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 METRO WAY SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199619",
            "telephone_number": "616-249-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "OPT5644",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004469A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New River Counseling, PLLC
• New Vine Nutrition LLC
• Kelsey Newsome, LLBSW
• Dawn Ngoc Nguyen, PHARMD
• Kevin Nguyen
• Megan Nickelson
• Shari Nienhuis
• Chidinma Joy Nkwopara
• Brandon Nolan, DO
• Noors Heaven of West Michigan Services

• Optometrist in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.