Individual provider Active NPI

Duy Hoang Nguyen

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1801562715
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003328 Issued in GA
Practice address
800 Mount Vernon Hwy NE Ste 130
Atlanta, GA 30328-4293
Phone
(404) 256-1125
NPI assigned
Aug 19, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003328 GA Primary

Addresses

Primary practice location

800 Mount Vernon Hwy NE Ste 130
Atlanta, GA 30328-4293

Mailing address

2588 Decatur Village Dr Apt 2635
Decatur, GA 30033-5556
Phone (314) 757-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20220119001472 GA Practitioner - Optometry 3779972617 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Bolt Eye Group - Riverdale LLCGroup PAC ID 8022475532, 2 clinicians
The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians
Family First Vision Care GeorgiaGroup PAC ID 3173934981, 8 clinicians

Practice addresses (Care Compare)

131 Upper Riverdale Rd SW
Riverdale, GA 30274-2540
Phone (770) 994-9913

3495 Piedmont Rd NE
Atlanta, GA 30305-1729
Phone (404) 364-7206

890 Dawsonville Hwy
Suite a
Gainesville, GA 30501-2608
Phone (770) 532-4171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003328GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
The Southeast Permanente Medical Group CurrentSince Oct 1, 2025 Accepting new patients
Family First Vision Care Georgia Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Wood Eyecare, P.C. Past Accepting new patients

Locations

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

890 Dawsonville Hwy
Ste A
Gainesville, GA 30501
Phone (770) 532-4171

1401 Johnson Ferry Rd
Ste 148B
Marietta, GA 30062
Phone (770) 509-8480

10775 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 998-0331

316 S Hamilton Rd
Gahanna, OH 43230

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": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1801562715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2588 DECATUR VILLAGE DR APT 2635",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335556",
            "telephone_number": "314-757-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MOUNT VERNON HWY NE STE 130",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284293",
            "telephone_number": "404-256-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DUY",
        "middle_name": "HOANG",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-19",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.