Active NPI
Nhung DO, OD
- Optometrist
- Medford, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ATI4593
- Practice address
- 221 W Stewart Ave Ste 110
Medford, OR 97501-3647 - Phone
- (541) 776-9026
- NPI assigned
- Aug 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ATI4593 | OR | Primary |
Addresses
Primary practice location
221 W Stewart Ave Ste 110
Medford, OR 97501-3647
Mailing address
221 W Stewart Ave Ste 110
Medford, OR 97501-3647
Phone (541) 494-5325
Other practice location 1
1333 E Barnett Rd
Medford, OR 97504-8219
Phone (541) 779-4711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5000796034 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pacific University - College of Optometry, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1333 E Barnett Rd
Medford, OR 97504-8219
Phone (541) 779-4711
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.83 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 76.1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ATI4593 | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Eye Center Inc | Optometrist | Current | Accepting new patients |
| Medical Eye Center Optical Inc | Past | Accepting new patients |
Locations
881 NE 7th St
Grants Pass, OR 97526
Phone (541) 476-6302
221 W Stewart Ave
Ste 110
Medford, OR 97501
Phone (541) 776-9026
1333 E Barnett Rd
Medford, OR 97504
Phone (541) 779-4711
Interoperability endpoints
- ndo@directaddress.net
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.
-
- Eyewear Supplier
- Grants Pass, OR
- NPI 1629242938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1902570914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 W STEWART AVE STE 110",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975013647",
"telephone_number": "541-494-5325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 W STEWART AVE STE 110",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975013647",
"telephone_number": "541-776-9026"
}
],
"practiceLocations": [
{
"address_1": "1333 E Barnett Rd",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975048219",
"country_code": "US",
"telephone_number": "541-779-4711",
"fax_number": "541-779-0796",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DO",
"first_name": "NHUNG",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-03",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "ATI4593",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5000796034",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.