Individual provider Active NPI

Jennifer Thi Nguyen, OD

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1710539283
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT-002739 Issued in AZ
Practice address
1650 E Camelback Rd Ste 160
Phoenix, AZ 85016-3947
Phone
(602) 277-3348
Fax
(602) 264-2715
NPI assigned
Jul 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT-002739 AZ Primary
Optometrist 152W00000X OD-920 HI

Addresses

Primary practice location

1650 E Camelback Rd Ste 160
Phoenix, AZ 85016-3947

Mailing address

955 W Southern Ave Ste 101
Mesa, AZ 85210-4903
Phone (480) 961-1865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190920003061 HI Practitioner - Optometry 9335479153 Reassigns benefits to 1 organization
I20231004002777 AZ Practitioner - Optometry 9335479153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nationwide Optometry P.C.Group PAC ID 6901033075, 54 clinicians

Practice addresses (Care Compare)

1672 E Guadalupe Rd
111 NW Vision Ctr
Gilbert, AZ 85234-8167
Phone (480) 892-6495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT-002739AZMDOptometrist
OD-920HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Optometry P.C. Optometrist CurrentSince Sep 1, 2023 Accepting new patients
Family Optometric Associates P.C. Optometrist CurrentSince Oct 2, 2021 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince Sep 1, 2023 Accepting new patients
Eugene W M NG MD LLC Optometrist PastSince Jun 1, 2025 Accepting new patients

Locations

1775 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1600

220 N McKemy Ave
Chandler, AZ 85226
Phone (480) 961-1865

801 S Milton Rd
Flagstaff, AZ 86001
Phone (928) 213-1400

1672 E Guadalupe Rd
Ste 111
Gilbert, AZ 85234
Phone (480) 892-6495

955 W Southern Ave
Ste 101
Mesa, AZ 85210
Phone (480) 961-1865

1650 E Camelback Rd
Ste 160
Phoenix, AZ 85016
Phone (602) 277-3348

1820 N 75th Ave
Ste 102
Phoenix, AZ 85035
Phone (623) 849-0428

2040 E Rio Salado Pkwy
Ste 120
Tempe, AZ 85288
Phone (480) 966-4992

4663 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 322-0873

3788 S 16th Ave
Tucson, AZ 85713
Phone (520) 388-9741

182 W 32nd St
Yuma, AZ 85364
Phone (928) 726-7757

4725 Bougainville Dr
Honolulu, HI 96818
Phone (808) 312-3878

Interoperability endpoints

  • Direct secure messaging: jennifernguyen@direct.eyecare-partners.com
  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1710539283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 W SOUTHERN AVE STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104903",
            "telephone_number": "480-961-1865",
            "fax_number": "480-893-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 E CAMELBACK RD STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163947",
            "telephone_number": "602-277-3348",
            "fax_number": "602-264-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JENNIFER",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-002739",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.