Victoria Nguyen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ATI4545 Issued in OR

Practice address

7850 SW Dartmouth St
Tigard, OR 97223-8401

Phone

(503) 639-8632

NPI assigned

Oct 5, 2020

Last updated

Oct 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

Opted out of Medicare

Yes, effective Apr 6, 2023 through Apr 6, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1881291656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16960 NW SKYLINE BLVD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972312404",
            "telephone_number": "503-329-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 SW DARTMOUTH ST",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238401",
            "telephone_number": "503-639-8632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VICTORIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "ATI4545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tam Nguyen, OD
• Tammy T Nguyen
• Thanh-Truc Nguyen, DMD
• Tony Tu Nguyen, D.M.D.
• Truc Nguyen, FNP-C
• Bao Tran Nhan, MD
• Everett Nicolai III, DPT
• Douglas R Niehus, MD
• Enid E Nielsen, MA, LPC, NCC
• Jennifer Ann Nieves, APRN

• Optometrist in Tigard, OR
• Providers in Tigard, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.