Vivian H Nguyen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618001480 Issued in VA

Practice address

11784L Fair Oaks Mall
Fairfax, VA 22033-3308

Phone

(703) 591-9377

NPI assigned

Feb 7, 2007

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

Medicare fee-for-service enrollment

Enrolled in DC

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

University of Houston - College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Nova Premier Eyecare, P.C.

  • Optometrist
  • Fairfax, VA
  • NPI 1255648283

  DC

  Medicare reassignment NPD Authorized official
• Nova Premier Eyecare

  • Optometrist
  • Fairfax, VA
  • NPI 1235536103
  NPD Authorized official
• Tewodros Gedamu, O.D. & Associates, LLC

  dba Dr. Tewodros Gedamu & Associates

  • Optometrist
  • Fairfax, VA
  • NPI 1114101425
  NPD (past)

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982744124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9820 BOLTON VILLAGE CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321147",
            "telephone_number": "571-338-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11784L FAIR OAKS MALL",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333308",
            "telephone_number": "703-591-9377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VIVIAN",
        "middle_name": "H",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Nguyen, DPT
• Trang M Nguyen, RPH
• Tuan Dinh Nguyen, DDS
• Van Nguyen, MSW
• VI Khanh Nguyen, MD
• Vy Thao Nguyen
• Wanda Nguyen, PHARM.D
• Zenny Nguyen, LCSW
• Benjamin Behnoud Nia, MD
• Ferdous Niaz

• Optometrist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.