Individual provider Active NPI

Michelle Nguyen

  • Optometrist
  • Portland, OR
National Provider Identifier
1871452151
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ATI4835 Issued in OR
Practice address
2021 NE Alberta St
Portland, OR 97211-5847
Phone
(503) 384-2489
NPI assigned
Jan 21, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Optometrist 152W00000X ATI4835 OR Primary

Addresses

Primary practice location

2021 NE Alberta St
Portland, OR 97211-5847

Mailing address

2021 NE Alberta St
Portland, OR 97211-5847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16435 SW Cornelian Way
Beaverton, OR 97007-8851

2021 NE Alberta St
Portland, OR 97211-5847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alberta Eye Care Optometrist CurrentSince Jul 2, 2026 Accepting new patients

Locations

8787 N Lombard St
Portland, OR 97203
Phone (503) 406-6761

2021 NE Alberta St
Portland, OR 97211
Phone (503) 384-2489

Organizations & group practices 1

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": "1768953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1871452151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 NE ALBERTA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 NE ALBERTA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115847",
            "telephone_number": "503-384-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "ATI4835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.