Phuong Lan Mimi Nguyen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001324 Issued in PA

Practice address

215 Lancaster Ave
F5
Frazer, PA 19355-1874

Phone

(484) 318-7851

NPI assigned

Nov 28, 2006

Last updated

Feb 26, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

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.

• Savochka Eye Associates, LLC

  dba Pinnacle Eye Care

  • Optometrist
  • Frazer, PA
  • NPI 1124371620
  Medicare reassignment NPD
• On Site Health Services PC

  • Optometrist
  • Blue Bell, PA
  • NPI 1720083553
  NPD (past)
• Ophthalmology Consulting Services, PC

  • Ophthalmology Physician
  • Blue Bell, PA
  • NPI 1831195213
  NPD (past)
• Pinnacle Eye Care, LLC

  • Optometrist
  • Frazer, PA
  • NPI 1982934089
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1962579912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 LANCASTER AVE",
            "address_2": "F5",
            "city": "FRAZER",
            "state": "PA",
            "postal_code": "193551874",
            "telephone_number": "484-318-7851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 LANCASTER AVE",
            "address_2": "F5",
            "city": "FRAZER",
            "state": "PA",
            "postal_code": "193551874",
            "telephone_number": "484-318-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUONG LAN",
        "middle_name": "MIMI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00569200",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nardone Chiropractic Center LLC
• Jason Nardone, D.C.
• Robert Nast, DC
• Theresa Boland Neiderer, OD
• Neuromed Diagnostic, PC
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy # 05064)
• Pinnacle Eye Care, LLC
• Progressive Health Chiropractic, LLC
• Rehabilitation Consultants, Inc.
• Regan Root, M.ED., BCBA

• Optometrist in Frazer, PA
• Providers in Frazer, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.