Ly Thi Nguyen, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME 94908 Issued in FL

Practice address

4691 Old Canoe Creek Road
St Cloud, FL 34769

Phone

(407) 891-2010

Fax

(407) 891-8211

NPI assigned

Jun 26, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orlando Health St Cloud Hospital Hospital, Saint Cloud, FL, CCN 100302

Merit-based Incentive Payment System (MIPS)

Final score

99.21 of 100Reported as individual

Quality

98.43

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• St Cloud Eye Center Inc

  dba Eye Florida

  • Ophthalmology Physician
  • Saint Cloud, FL
  • NPI 1457509531
  Medicare reassignment NPD Authorized official
• St Cloud Eye Center Inc

  dba Eye Florida

  • Ophthalmology Physician
  • Saint Cloud, FL
  • NPI 1922632066
  NPD Authorized official
• St Cloud Eye Center Inc

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1215276449
  Authorized official Same address or phone
• St. Cloud Eye Center Inc

  dba Eye Florida

  • Eyewear Supplier
  • Kissimmee, FL
  • NPI 1659641371
  NPD (past) Authorized official
• Precision Surgicenter of Saint Cloud

  • Ambulatory Surgical Clinic/Center
  • Saint Cloud, FL
  • NPI 1720660806
  NPD
• St. Cloud Eye Center, Inc

  dba Eye Florida

  • Ophthalmology Physician
  • Kissimmee, FL
  • NPI 1275927261
  NPD (past)
• St. Cloud Eye Center, Inc

  dba Eye Florida

  • Ophthalmology Physician
  • Saint Cloud, FL
  • NPI 1518352210
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Osceolasc LLC

  dba St Cloud Regional Medical Center

  • General Acute Care Hospital
  • Saint Cloud, FL
  • NPI 1164478442
  Care Compare affiliation

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1942237193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4691 OLD CANOE CREEK ROAD",
            "city": "ST CLOUD",
            "state": "FL",
            "postal_code": "34769",
            "telephone_number": "407-891-2010",
            "fax_number": "407-891-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4691 OLD CANOE CREEK ROAD",
            "city": "ST CLOUD",
            "state": "FL",
            "postal_code": "34769",
            "telephone_number": "407-891-2010",
            "fax_number": "407-891-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LY",
        "middle_name": "THI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME 94908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "ME 94908",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neurology and Sleep Center, PLLC
• New Image Dentistry of Osceola
• New Melody Birth, LLC
• Tam Ngoc Ngo, PHARM.D
• Anh Thi Nguyen
• Phuong Q Nguyen, PHARMD
• Rachel Nguyen
• Carmelita Ocampo Nicdao, MD
• Nico Care Services LLC
• Naga Lakshmana Prasad Nidadavolu, M.D

• Ophthalmology Physician in Saint Cloud, FL
• Providers in Saint Cloud, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.