Individual provider Active NPI

Hoang Minh Nguyen, O.D.

  • Optometrist
  • Orlando, FL
National Provider Identifier
1760630248
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4361 Issued in FL
Practice address
2500 S Kirkman Rd
Orlando, FL 32811-2345
Phone
(407) 523-0617
NPI assigned
Sep 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4361 FL Primary

Addresses

Primary practice location

2500 S Kirkman Rd
Orlando, FL 32811-2345

Mailing address

18325 Bellezza Dr
Orlando, FL 32820-1450

Other identifiers 1

IdentifierTypeStateIssuer
3114800MedicaidFL

Other names 1

  • Dr. H. Minh Nguyen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110303000175 FL Practitioner - Optometry 1850573478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

5020 E Colonial Dr
Orlando, FL 32803-4312
Phone (407) 895-6254

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4361FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Mar 1, 2017 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Mar 1, 2017 Accepting new patients

Locations

12950 E Colonial Dr
Ste 100
Orlando, FL 32826
Phone (352) 361-5205

5020 E Colonial Dr
Orlando, FL 32803
Phone (321) 430-1266

1700 Sand Lake Rd
Ste D120
Orlando, FL 32809

1025 Oviedo Mall Blvd
Oviedo, FL 32765
Phone (407) 977-3100

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434931200000",
    "number": "1760630248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18325 BELLEZZA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328201450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S KIRKMAN RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328112345",
            "telephone_number": "407-523-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HOANG",
        "middle_name": "MINH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2015-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "4361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3114800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "H.",
            "last_name": "NGUYEN",
            "middle_name": "MINH",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.