Individual provider Active NPI

Thuy Dung Nguyen, OD

  • Optometrist
  • Fort Smith, AR
National Provider Identifier
1831769728
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2827 Issued in AR
Practice address
4189 Phoenix Ave Ste B
Fort Smith, AR 72903-6013
Phone
(405) 476-9580
NPI assigned
Jul 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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 2827 AR Primary

Addresses

Primary practice location

4189 Phoenix Ave Ste B
Fort Smith, AR 72903-6013

Mailing address

501 Two Sisters CT
Fort Smith, AR 72916-4041
Phone (405) 476-9580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210715003621 AR Practitioner - Optometry 6002218872 Reassigns benefits to 1 organization
I20220602000391 OK Practitioner - Optometry 6002218872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dang Eyecare and Associates, P.a.Group PAC ID 2365599610, 11 clinicians

Practice addresses (Care Compare)

4189 Phoenix Ave
Suite B
Fort Smith, AR 72903-6013
Phone (479) 434-4668

7199 SE 29TH St
Suite 110
Midwest City, OK 73110-6004
Phone (405) 737-6681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2827ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dang Eyecare & Associates, P.a. Optometrist CurrentSince Jul 6, 2021 Accepting new patients
Jones Eyecare Associates PC Optometrist Past Accepting new patients

Locations

4189 Phoenix Ave
Ste B
Fort Smith, AR 72903
Phone (479) 434-4668

7199 SE 29th St
Ste 110
Midwest City, OK 73110
Phone (405) 737-6681

7199 SE 29th St
Ste 110B
Midwest City, OK 73110
Phone (405) 737-6681

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": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1831769728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 TWO SISTERS CT",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729164041",
            "telephone_number": "405-476-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4189 PHOENIX AVE STE B",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729036013",
            "telephone_number": "405-476-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THUY DUNG",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.