Individual provider Active NPI

Joseph P Nguyen, O.D.

  • Optometrist
  • Winter Garden, FL
National Provider Identifier
1891148268
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5264 Issued in FL
Practice address
3119 Daniels Rd Ste 110
Winter Garden, FL 34787-7012
Phone
(407) 654-5453
Fax
(407) 554-0201
NPI assigned
Jul 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 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 OPC5264 FL Primary

Addresses

Primary practice location

3119 Daniels Rd Ste 110
Winter Garden, FL 34787-7012

Mailing address

7595 Blue Quail LN
Orlando, FL 32835-5808
Phone (504) 638-5701

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
I20170123000953 FL Practitioner - Optometry 9335421650 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5264FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
TN Eye Care LLC Optometrist CurrentSince Apr 27, 2025 Accepting new patients
Jimmy Nguyen OD PA Optometrist PastSince Jul 27, 2020 Accepting new patients

Locations

3119 Daniels Rd
Ste 110
Winter Garden, FL 34787
Phone (407) 654-5453

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1891148268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 BLUE QUAIL LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328355808",
            "telephone_number": "504-638-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 DANIELS RD STE 110",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347877012",
            "telephone_number": "407-654-5453",
            "fax_number": "407-554-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-20",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Garden, FL

Sources for this page

Verify at the official NPI Registry.