Tai A Nguyen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002547 Issued in CT

Practice address

90 Elm St
Target Optical
Enfield, CT 06082-3770

Phone

(860) 741-2020

Fax

(860) 956-8175

NPI assigned

Mar 7, 2007

Last updated

Feb 1, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in CT

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

Specialty

Optometry

Education

New England College of Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Nguyen Associates LLCGroup PAC ID 3971400433, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Nguyen Associates LLC

  • Optometrist
  • Wethersfield, CT
  • NPI 1730357831
  Medicare reassignment Care Compare group NPD
• Dr. Tai Nguyen, LLC

  • Optometrist
  • Enfield, CT
  • NPI 1609234053
  NPD (past) Authorized official
• Dr. James Hai T. Nguyen, LLC

  dba Dental & Vision Associates

  • General Practice Dentistry
  • Wethersfield, CT
  • NPI 1255561346
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1902937741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 BERLIN TPKE",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091010",
            "telephone_number": "860-956-1396",
            "fax_number": "860-956-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 ELM ST",
            "address_2": "TARGET OPTICAL",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823770",
            "telephone_number": "860-741-2020",
            "fax_number": "860-956-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TAI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New England Primary Care LLC
• New England Urgent Care Enfield LLC (New England Urgent Care Enfield)
• Allison Newberg-Gray
• Debborah Newell
• Anna Ngo, OD
• Jason W Niles
• Seanna Nixon, LPC
• Lynn Nochisaki, APRN
• Jayne M Noel, LCSW
• Kelly Julia Nolin

• Optometrist in Enfield, CT
• Providers in Enfield, CT by specialty
• Optometrist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.

Verify at the official NPI Registry.