Individual provider Active NPI

Brian Nguyen, OD

  • Optometrist
  • Miami, FL
National Provider Identifier
1851076442
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6253 Issued in FL
Practice address
14089 SW 88TH St
Miami, FL 33186-4002
Phone
(305) 341-2973
NPI assigned
Jun 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 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 OPC6253 FL Primary

Addresses

Primary practice location

14089 SW 88TH St
Miami, FL 33186-4002

Mailing address

12321 SW 119TH PL
Miami, FL 33186-5146
Phone (305) 484-8104

Other practice location 1

8430 Mills Dr
Kendall, FL 33183-4807
Phone (305) 279-4260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240422000237 FL Practitioner - Optometry 8921447111 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC6253FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Jul 1, 2024 Accepting new patients
America's Best Contacts & Eyeglasses Past Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. PastSince Jun 25, 2023 Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

3635 US Highway 98 N
Lakeland, FL 33809
Phone (863) 937-9045

330 N Alafaya Trl
Orlando, FL 32828
Phone (407) 208-1027

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, 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": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1851076442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12321 SW 119TH PL",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865146",
            "telephone_number": "305-484-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14089 SW 88TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864002",
            "telephone_number": "305-341-2973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8430 Mills Dr",
            "address_purpose": "LOCATION",
            "city": "Kendall",
            "state": "FL",
            "postal_code": "331834807",
            "country_code": "US",
            "telephone_number": "305-279-4260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.