Individual provider Active NPI

Diana Nguyen, O.D.

  • Optometrist
  • Brooklyn, NY
National Provider Identifier
1831352137
Registry record updated Feb 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV0072861 Issued in NY
Practice address
2057 86TH St
Brooklyn, NY 11214-3203
Phone
(718) 355-9656
Fax
(718) 355-9654
NPI assigned
Jul 7, 2008
Last updated
Feb 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 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 TUV0072861 NY Primary

Addresses

Primary practice location

2057 86TH St
Brooklyn, NY 11214-3203

Mailing address

2057 86TH St
Brooklyn, NY 11214-3203
Phone (718) 355-9656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20130814000010 NY Practitioner - Optometry 8527136605 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007286NYMDChiropractor
TUV0072861NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyed Park Slope Optometrist Current Accepting new patients
Eye D Vision, LLC Optometrist CurrentSince Mar 1, 2013 Accepting new patients
Eye D Sunset Optometrist Past Accepting new patients

Locations

2071 86th St
Brooklyn, NY 11214
Phone (718) 355-9656

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1831352137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143203",
            "telephone_number": "718-355-9656",
            "fax_number": "718-355-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143203",
            "telephone_number": "718-355-9656",
            "fax_number": "718-355-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-07",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV0072861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.