Individual provider Active NPI

Amy Anh Vy Hoang Nguyen, OD

  • Optometrist
  • Fort Wayne, IN
National Provider Identifier
1871477588
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18004603A Issued in IN
Practice address
1601 E Paulding Rd
Fort Wayne, IN 46816-1204
Phone
(260) 744-2273
NPI assigned
Aug 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18004603A IN Primary

Addresses

Primary practice location

1601 E Paulding Rd
Fort Wayne, IN 46816-1204

Mailing address

2054 Bayview Dr
Fort Wayne, IN 46815-4222
Phone (260) 579-8910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20250823000281 IN Practitioner - Optometry 6709386824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Eye Consultants PCGroup PAC ID 2961399217, 71 clinicians

Practice addresses (Care Compare)

9426 Lima Rd
Suite C
Fort Wayne, IN 46818-8681
Phone (260) 489-5544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Consultants, P.C. Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Midwest Eye Consultants, P.C. Current Accepting new patients
Midwest Eye Consultants, PC Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Midwest Eye Consultants P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients
Midwest Eye Consultants, P.C. Optometrist Past Accepting new patients

Locations

1601 E Paulding Rd
Fort Wayne, IN 46816
Phone (260) 744-2273

9426 Lima Rd
Ste C
Fort Wayne, IN 46818
Phone (219) 489-5544

1240 Medical Park Dr
#17
Fort Wayne, IN 46825
Phone (260) 471-2375

825 N Lincoln St
#12
Greensburg, IN 47240
Phone (812) 663-7222

301 J St
Laporte, IN 46350
Phone (219) 326-9569

301 J St
#34
Laporte, IN 46350
Phone (219) 362-8923

Organizations & group practices 7

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": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1871477588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 BAYVIEW DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468154222",
            "telephone_number": "260-579-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E PAULDING RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468161204",
            "telephone_number": "260-744-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "AMY",
        "middle_name": "ANH VY HOANG",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18004603A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.