Individual provider Active NPI

Phuong Celine Nguyen

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1821585795
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2238 Issued in AZ
Practice address
7000 E Mayo Blvd Ste 1034
Phoenix, AZ 85054-6153
Phone
(480) 513-3106
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2238 AZ Primary

Addresses

Primary practice location

7000 E Mayo Blvd Ste 1034
Phoenix, AZ 85054-6153

Mailing address

4973 E. Rosemonte Drive
Phoenix, AZ 85050-6153
Phone (858) 776-2502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20180628000311 AZ Practitioner - Optometry 1153677539 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2238AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tom Sowash OD & Associates PC Optometrist CurrentSince May 2, 2018 Accepting new patients
Emergency Medical & Surgical Specialists of Colorado LLC Single Specialty Past Accepting new patients

Locations

10285 W McDowell Rd
Ste A102
Avondale, AZ 85392
Phone (623) 907-8730

917 N Promenade Pkwy
Ste 101
Casa Grande, AZ 85194
Phone (520) 836-8946

3111 W Chandler Blvd
Ste 1124
Chandler, AZ 85226
Phone (480) 782-9380

3431 W Frye Rd
Ste 1
Chandler, AZ 85226
Phone (480) 782-9380

7700 W Arrowhead Towne Ctr
Ste 2130
Glendale, AZ 85308
Phone (623) 486-2020

7000 E Mayo Blvd
Ste 1034
Phoenix, AZ 85054
Phone (480) 513-3106

5870 E Broadway Blvd
Ste 506
Tucson, AZ 85711
Phone (520) 745-0229

175 E Houston St
San Antonio, TX 78205
Phone (210) 524-6982

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1821585795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4973 E. ROSEMONTE DRIVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850506153",
            "telephone_number": "858-776-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 E MAYO BLVD STE 1034",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850546153",
            "telephone_number": "480-513-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUONG",
        "middle_name": "CELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.