Johnny Duong, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3628AT Issued in OR

Practice address

1415 NW 21St Ave
Portland, OR 97209-2176

Phone

(503) 894-7200

Fax

(503) 894-7201

NPI assigned

Jul 8, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Optometry

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Slabtown Eye Care LLC

  • Optometrist
  • Portland, OR
  • NPI 1649091752
  Medicare reassignment NPD Authorized official
• River City Eyecare, LLC

  • Eyewear Supplier
  • Clackamas, OR
  • NPI 1578899472
  Medicare reassignment NPD
• National Vision, Inc.

  • Optician
  • Wood Village, OR
  • NPI 1649669441
  NPD (past)

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1811370968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 NW 21ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092176",
            "telephone_number": "503-894-7200",
            "fax_number": "503-894-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 NW 21ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092176",
            "telephone_number": "503-894-7200",
            "fax_number": "503-894-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "JOHNNY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3628AT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larlene M Dunsmuir, FNP
• Christy Martinez Dunst, M.D.
• Joy Birnbach Dunstan, LPC, NCC, MAC
• Cody Duong, PHARMD
• Jennifer Luong Duong, MD
• Minh-Thu Thuy Duong, D.O.
• Thien-Kim Duong, PHARMD
• Baine Dupee
• Ellen P Duplain, MD
• Luminita Dupont, RN

• Optometrist in Portland, OR
• Providers in Portland, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.