Active NPI
Jenny Nguyen, OD
- Optometrist
- Altamonte Springs, FL
National Provider Identifier
1922734763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6128
- Practice address
- 303 E Altamonte Dr # 10601100
Altamonte Springs, FL 32701-4411 - Phone
- (407) 551-0285
- NPI assigned
- Jul 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 6128 | FL | Primary |
Addresses
Primary practice location
303 E Altamonte Dr # 10601100
Altamonte Springs, FL 32701-4411
Mailing address
303 E Altamonte Dr # 10601100
Altamonte Springs, FL 32701-4411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6128 | FL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684627200000",
"number": "1922734763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 E ALTAMONTE DR # 10601100",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327014411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 E ALTAMONTE DR # 10601100",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327014411",
"telephone_number": "407-551-0285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JENNY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-25",
"last_updated": "2023-05-21",
"certification_date": "2023-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "6128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.