Active NPI
Dr. Nguyen Associates LLC
- Optometrist
- Wethersfield, CT
National Provider Identifier
1730357831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2615
- Legal business name
- DR. NGUYEN ASSOCIATES LLC
- Practice address
- 1402 Berlin Tpke
Wethersfield, CT 06109-1010 - Phone
- (860) 956-1396
- NPI assigned
- Feb 12, 2008
- Last updated
- Apr 26, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kristy Nguyen, O.D.
- Title
- Optometrist
- Phone
- (860) 956-1396
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2615 | CT | Primary |
Addresses
Primary practice location
1402 Berlin Tpke
Wethersfield, CT 06109-1010
Mailing address
1402 Berlin Tpke
Wethersfield, CT 06109-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730357831 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1402 Berlin Tpke
Wethersfield, CT 06109
Phone (860) 956-1396
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Wethersfield, CT
- NPI 1184741944
-
- Optometrist
- Enfield, CT
- NPI 1902937741
-
- General Practice Dentistry
- Wethersfield, CT
- NPI 1104172352
-
- General Practice Dentistry
- Wethersfield, CT
- NPI 1801913660
-
- General Practice Dentistry
- Wethersfield, CT
- NPI 1275910515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366934400000",
"number": "1730357831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 BERLIN TPKE",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061091010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 BERLIN TPKE",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061091010",
"telephone_number": "860-956-1396"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. NGUYEN ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-12",
"last_updated": "2013-04-26",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "KRISTY",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "860-956-1396",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "2615",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730357831",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wethersfield, CT
- Jody Ann Donaldson, RPT
- Ryan P Donberg, PSYD
- Elizabeth Susan Doty
- Carey B Downes, MA, LPC
- Dr. James Hai T. Nguyen, LLC (Dental & Vision Associates)
- Dr. Roberto Medina, MD LLC
- Dr. Ukti G. Phadnis LLC (Wethersfield Dental Group)
- Dr.Matthew Carbone Family Chiropractic
- Cheryl A. Drezek, P.A-C
- Lauren Dubois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.