Individual provider Active NPI

Thuy-Lan Duong Nguyen, O.D.

  • Optometrist
  • Pembroke Pines, FL
National Provider Identifier
1992805261
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 0003695 Issued in FL
Practice address
1732 N University Dr
Pembroke Pines, FL 33024-3602
Phone
(954) 432-7711
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 0003695 FL Primary

Addresses

Primary practice location

1732 N University Dr
Pembroke Pines, FL 33024-3602

Mailing address

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other identifiers 16

IdentifierTypeStateIssuer
2925OtherFLADVANTICA
2925OtherFLOPTUM HEALTH
36018OtherFLBLUE CROSS BLUE SHIELD FL
3645OtherFLDAVIS VISION
2925OtherFLVISION SERVICE PLAN (VSP)
2925OtherFLSUPERIORVISION
57OtherFLFLORIDA OPTOMETRIC PHYSICIAN NETWORK
2925OtherFLUNITED HEALTH CARE
2925OtherFLPREMIER EYE CARE/PREFERRED CARE PARTNERS
5925OtherFLAETNA
FL0946OtherFLEYEMED
2925OtherFLHUMANA VISION
2925OtherFLSAFEGUARD VISION
620759600MedicaidFL
2925OtherFLCIGNA HEALTH PLANS
5925OtherFLTRICARE

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050813000011 FL Practitioner - Optometry 0446280119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Southeastern University IncGroup PAC ID 4486568896, 97 clinicians

Practice addresses (Care Compare)

2307 W Broward Blvd
Suite 200
Fort Lauderdale, FL 33312-1420
Phone (954) 262-4200

Merit-based Incentive Payment System (MIPS)

Final score
72.47 of 100Reported as group
Quality
62.45
Improvement activities
40
Cost
73.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 0003695FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physicians of Florida LLP CurrentSince Jun 15, 2009 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince May 4, 2019 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist Current Accepting new patients
Nova Southeastern University CurrentSince Aug 15, 2019 Accepting new patients
Myeyedr Optometry of Florida, LLC Optometrist CurrentSince May 4, 2019 Accepting new patients
Nova Southeastern University, Inc Past Accepting new patients

Locations

3011 W Yamato Rd
Ste A19
Boca Raton, FL 33434
Phone (561) 995-9600

3200 S University Dr
Bldg 2ND
Davie, FL 33328
Phone (954) 262-4200

1111 W Broward Blvd
Ft Lauderdale, FL 33312
Phone (954) 463-7313

1732 N University Dr
Pembroke Pines, FL 33024
Phone (954) 432-7711

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1992805261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD",
            "address_2": "STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 N UNIVERSITY DR",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243602",
            "telephone_number": "954-432-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THUY-LAN",
        "middle_name": "DUONG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 0003695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANTICA",
            "identifier": "2925",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM HEALTH",
            "identifier": "2925",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "36018",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "3645",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN (VSP)",
            "identifier": "2925",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIORVISION",
            "identifier": "2925",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA OPTOMETRIC PHYSICIAN NETWORK",
            "identifier": "57",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2925",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMIER EYE CARE/PREFERRED CARE PARTNERS",
            "identifier": "2925",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5925",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "FL0946",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA VISION",
            "identifier": "2925",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAFEGUARD VISION",
            "identifier": "2925",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620759600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH PLANS",
            "identifier": "2925",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "5925",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.