DR. SHAWN NGUYEN (NPI# 1578175824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578175824 |
| Entity Type | Individual |
| Full Name | DR. SHAWN NGUYEN |
| Credential | OD |
| Practice Address |
6600 Van Aalst Blvd Fort Benning GA 31905-2102 |
| Mailing Address |
1317 S Diamond Bar Blvd Unit 5761 Diamond Bar CA 91765-5675 |
| Practice Telephone | 7624082273 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 34643 | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124409313 | Shawn Nguyen | Dentist | 27600 Hoover Rd Ste 1, Warren, MI 48093-7721 | 2015-06-12 |
| 1053741355 | Shawn Duy Nguyen | Physical Therapist | 14221 Euclid St Ste F, Garden Grove, CA 92843-4991 | 2013-11-22 |
| 1427462290 | Shawn Nguyen | Student in an Organized Health Care Education/Training Program | 26520 Cactus Ave, Orthopedic Surgery Dept., Moreno Valley, CA 92555-3927 | 2014-06-19 |
| 1750724431 | Shawn Nguyen | Family Medicine | 1900 E Lambert Rd, Brea, CA 92821-4371 | 2013-04-11 |
| 1770851206 | Shawn Nguyen | Pharmacist | 16201 Harbor Blvd, Fountain Valley, CA 92708-1371 | 2011-12-12 |
| 1659696946 | Shawn Nguyen | Anesthesiology | 5700 Dallas Pkwy, Frisco, TX 75034-9580 | 2010-03-30 |
| Street Address |
6600 VAN AALST BLVD |
| City | FORT BENNING |
| State | GA |
| Zip Code | 31905-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184608218 | Fletcher Maurice Boulware Jr. | Anesthesiology | 6600 Van Aalst Blvd, Anesthesia Suite 2nd Floor, Fort Benning, GA 31905 | 2005-12-01 |
| 1700486669 | Krystal Smith Dabon | Nurse Practitioner | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2020-10-29 |
| 1508466731 | Nichelle Pascoe | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2020-10-27 |
| 1598372518 | Delli Dorne | Nurse Practitioner | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2020-09-24 |
| 1205442944 | Vincent Krause | Nurse Practitioner | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2020-09-18 |
| 1720606791 | Aylin Seyalioglu | Physical Therapist | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2020-07-07 |
| 1578187431 | Travis Ian Hallquist | Registered Nurse | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2020-06-05 |
| 1770121899 | Rachel Elizabeth Cobb | Audiologist-Hearing Aid Fitter | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2019-12-19 |
| 1518516657 | Emily L Derosa | Physician Assistant | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2019-09-11 |
| 1194374447 | Jessica Ann Harner | Physician Assistant | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2019-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134741366 | Micah Elizabeth Lajoie | Specialist/Technologist | 7148 2nd Cavalry Street, Ft. Benning, GA 31905 | 2020-05-11 |
| 1598301384 | Tiffany Nicole Wolfe | Physical Therapist | 7446 Sightseeing Road, Bldg 2515, Ft Benning, GA 31905 | 2019-11-27 |
| 1790261022 | Kyle Joseph Burkardt | Dentist | Love Dental Clinic, 7101 Hoff St, Bldg 9240, Apo, AA 31905 | 2018-07-19 |
| 1821514449 | Rebekah Schott | Dentist | 7101 Hoff St., Fort Benning, GA 31905 | 2017-08-15 |
| 1043757677 | Karen Tolliver | Dental Hygienist | 7770 Sightseeing Rd, Bldg 2828, Fort Benning, GA 31905 | 2017-01-20 |
| 1356897953 | Katelyn Dolezal | Student in an Organized Health Care Education/Training Program | 6600 Van Aalst Blvd, Bldg 9250, Fort Benning, GA 31905 | 2016-09-01 |
| 1043663636 | Vicky J. Nehl | Dental Hygienist | 11th Abn Div Rd, Bldg 3255, Fort Benning, GA 31905 | 2016-07-19 |
| 1376992719 | Xenia Key | Dental Assistant | 7770 Sightseeing Road, Bernheim Dental Clinic, Fort Benning, GA 31905 | 2016-06-07 |
| 1588013189 | Barbara Parker | Dental Assistant | 2828 Sightseeing Rd, Fort Benning, GA 31905 | 2016-06-06 |
| 1568811255 | Tavonna Ashley | Dental Hygienist | 7107 Hoff Street, Apo, AA 31905 | 2016-06-03 |
| Find all providers in zip 31905 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720065964 | Helen B Hadley | Optometrist | Martin Army Community Hospital, Eent-optometry, Fort Benning, GA 31905 | 2005-12-29 |
| 1134103021 | Smitesh Jay Patel | Optometrist | 9220 Marne Rd, Fort Benning, GA 31905-5515 | 2005-12-03 |
| 1861045916 | Samantha Carrie Elliott | Optometrist | 9220 Marne Rd, Fort Benning, GA 31905-5515 | 2019-07-18 |
| 1154896363 | Jacquelyn Tyra | Optometrist | 9220 Marne Rd, Fort Benning, GA 31905 | 2018-10-04 |
| 1780107318 | Lianna Lowe | Optometrist | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | 2017-07-25 |
| 1598040354 | Kelly Honsinger Nilsson | Optometrist | 9220 Marne Rd, Fort Benning, GA 31905-5515 | 2011-10-12 |
| 1609008259 | Kayla Snipes Vickers | Optometrist | 9200 Marne Rd, Fort Benning, GA 31905-5515 | 2009-08-17 |
| 1083855704 | Optometry Clinic, Inc. | Optometrist | 9220 Marne Rd, Fort Benning, GA 31905-5515 | 2009-03-09 |
| 1699869792 | Don Cy Bagwell | Optometrist | 7950 Martin Loop, Fort Benning, GA 31905-5647 | 2006-10-03 |
| 1972601052 | Emery B. Fehl | Optometrist | 7950 Martin Loop, Building 9211, Fort Benning, GA 31905-5647 | 2006-09-20 |
| Find all providers in FORT BENNING | ||||
| City | FORT BENNING |
| Zip Code | 31905 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.