NPIMap

Organization Active NPI

Hanh M. Nguyen O.D., P.C.

Doing business as Vision Source

  • Optometrist
  • Brookhaven, GA
National Provider Identifier
1861507873
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HANH M. NGUYEN O.D., P.C.
Doing business as
Vision Source
Practice address
1200 Lake Hearn Dr NE Ste 150
Brookhaven, GA 30319-1445
Phone
(770) 951-1897
Fax
(404) 459-0475
NPI assigned
Aug 20, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Hanh Nguyen, ODNPI 1609049238
Title
President
Phone
(770) 951-1897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

1200 Lake Hearn Dr NE Ste 150
Brookhaven, GA 30319-1445

Mailing address

1200 Lake Hearn Dr NE Ste 150
Brookhaven, GA 30319-1445
Phone (770) 951-1897

Other names 1

  • Vision Source Doing business as

National Provider Directory

National Provider Directory

Locations

1200 Lake Hearn Dr NE
Ste 150
Sandy Springs, GA 30319
Phone (770) 951-1897

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1861507873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 LAKE HEARN DR NE STE 150",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303191445",
            "telephone_number": "770-951-1897",
            "fax_number": "404-459-0475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LAKE HEARN DR NE STE 150",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303191445",
            "telephone_number": "770-951-1897",
            "fax_number": "404-459-0475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANH M. NGUYEN O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2022-07-21",
        "certification_date": "2020-06-02",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-951-1897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Source",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vision Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.