Mary Ngoc-Tram Nguyen, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OEG003074 Issued in PA

Practice address

1260 E Woodland Ave
Springfield, PA 19064-3969

Phone

(407) 968-7749

NPI assigned

Aug 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Erie, PA
  • NPI 1063579837
  Medicare reassignment NPD
• Dr. Mary NT Nguyen, PLLC

  • Corneal and Contact Management Optometrist
  • West Chester, PA
  • NPI 1750730396
  NPD (past) Authorized official
• Visionworks, Inc

  dba Visionworks

  • Eyewear Supplier
  • Simpsonville, SC
  • NPI 1699571166
  NPD

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

{
    "created_epoch": "1440892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1790152379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 LIVE OAK LN",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806759",
            "telephone_number": "407-968-7749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 E WOODLAND AVE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643969",
            "telephone_number": "407-968-7749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MARY",
        "middle_name": "NGOC-TRAM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-30",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG003074",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG003074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Adrianne Neubauer, CRNP
• Nidhal Sasha Newash, MSW
• Dung Thanh Nguyen, DO
• Ellie M Nguyen
• Khristopher Minh Nguyen, MD
• Jessalyn Nishimori, M.D.
• Latoya Noble, MA
• Theresa Nolan, RN
• Trevor James Noon, OTR
• Vusisizwe Ntonga

• Corneal and Contact Management Optometrist in Springfield, PA
• Providers in Springfield, PA by specialty
• Corneal and Contact Management Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.