DR. PHUONG NGOC NGUYEN (NPI# 1710177977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710177977 |
| Entity Type | Individual |
| Full Name | DR. PHUONG NGOC NGUYEN |
| Credential | O.D. |
| Practice Address |
102 Stratford Square Mall Lenscrafters Bloomingdale IL 60108-2202 |
| Mailing Address |
1410 Roberts Ave Apt 305 San Jose CA 95122-3843 |
| Practice Telephone | 4083148772 |
| Mailing Telephone | 4083148772 |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2008-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046.010012 | IL | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | OPT 13294 | CA | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033930 | Phuong Dinh Nguyen | Anesthesiology | 11726 E Streamertail Cir # 2, Cypress, TX 77433-6732 | 2020-11-08 |
| 1407453988 | Phuong Tran Chan Nguyen | Pharmacist | 2826 Se 2nd Ct, Renton, WA 98056-4016 | 2020-10-07 |
| 1821585795 | Phuong Celine Nguyen | Optometrist | 7000 E Mayo Blvd Ste 1034, Phoenix, AZ 85054-6153 | 2018-04-17 |
| 1033642392 | Phuong Que Nguyen | Optometrist | 10926 Linnell Ave, Garden Grove, CA 92843-3438 | 2017-04-04 |
| 1992191480 | Phuong Thanh Nguyen | General Acute Care Hospital | 11712 Banner Dr, Garden Grove, CA 92843-2707 | 2015-04-10 |
| 1538568522 | Phuong Thi Nguyen | Dentist | 3510 N University St, Suite A, Peoria, IL 61604-1345 | 2014-08-15 |
| 1275947103 | Phuong Duong Thoai Nguyen | Surgery | 2755 Silver Creek Rd Ste 111&113, Bullhead City, AZ 86442-7904 | 2014-06-18 |
| 1487074605 | Phuong Nguyen | Specialist/Technologist, Other | 13717 Victoria St, Houston, TX 77015-3927 | 2014-04-28 |
| 1164855698 | Phuong Thanh Nguyen | Optometrist | 212 Common St, Quincy, MA 02169-4709 | 2013-08-20 |
| 1659635902 | Phuong Nguyen | Dentist | 6643 Northbrook Way, Fair Oaks, CA 95628-3039 | 2012-07-02 |
| Street Address |
102 STRATFORD SQUARE MALL LENSCRAFTERS |
| City | BLOOMINGDALE |
| State | IL |
| Zip Code | 60108-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457400301 | Robert Strasser | Optometrist | 102 Stratford Square Mall, Bloomingdale, IL 60108-2202 | 2007-01-09 |
| 1306345855 | Amina Haider | Optometrist | 102 Stratford Square Mall, Bloomingdale, IL 60108-2202 | 2018-02-09 |
| 1699124602 | Syeda Rabab Fatima | Optometrist | 102 Stratford Square Mall, Bloomingdale, IL 60108-2202 | 2016-06-09 |
| 1841587052 | Autumn Blaire M Durias | Optometrist | 102 Stratford Square Mall, Bloomingdale, IL 60108-2202 | 2011-07-08 |
| 1689723884 | Lawrence John Sajdecki | Optometrist | 102 Stratford Square Mall, Bloomingdale, IL 60108-2202 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758711 | Gina Baldacci, Lcsw, LLC | Community/Behavioral Health | 231 Longridge Dr, Bloomingdale, IL 60108 | 2020-10-19 |
| 1366056731 | Morgan Proctor | Physical Medicine & Rehabilitation | West Suburban Nursing and Rehabilitation, 311 Edgewater Drive, Bloomingdale, IL 60108 | 2020-09-03 |
| 1427549427 | Soohee Choi | Nurse Practitioner | 303 E Army Trail Rd Ste 100, Bloomingdale, IL 60108 | 2018-05-24 |
| 1427571710 | Priya Sanil Mathew | Nurse Practitioner | 151 Los Lagos Dr, Bloomingdale, IL 60108 | 2017-07-19 |
| 1538610100 | Saher Sayed | Optometrist | 102 Stratford Dr., Bloomingdale, IL 60108 | 2016-10-19 |
| 1215388939 | Kathy Mcnulty, Lcsw, LLC | Community/Behavioral Health | 1 Tiffany Point, Suite 117, Bloomingdale, IL 60108 | 2016-06-23 |
| 1689023889 | Agnes G Nawrot | Nurse Practitioner | 348 Golfview Court, Bloomingdale, IL 60108 | 2016-06-08 |
| 1023484045 | Amber Cotter | Social Worker | 203 Regency Drive, Unit 519, Bloomingdale, IL 60108 | 2015-08-13 |
| 1891176988 | Gunveen Chawla | Dentist | 366 W Army Trail Rd Ste 310a, Bloomingdale, IL 60108 | 2015-06-15 |
| 1922492396 | Allison Marie Schnitzler | Family Medicine | 245 S Gary Ave Ste 100, Bloomingdale, IL 60108 | 2015-03-24 |
| Find all providers in zip 60108 | ||||
| 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 |
|---|---|---|---|---|
| 1538610100 | Saher Sayed | Optometrist | 102 Stratford Dr., Bloomingdale, IL 60108 | 2016-10-19 |
| 1619376571 | Ada Avary | Optometrist | 315 Stratford Pl Ste C-15, Bloomingdale, IL 60108-2655 | 2014-08-16 |
| 1376957530 | Ashley Varakalayil | Optometrist | 332 Woodside Dr, Bloomingdale, IL 60108-2531 | 2014-06-16 |
| 1881907517 | Kyle David Burgers | Optometrist | 152 Stratford Square Mall, Bloomingdale, IL 60108-2202 | 2010-07-22 |
| 1386817682 | Alejandro Jose Ramirez | Optometrist | 366 W Army Trail Rd Ste 310b, Bloomingdale, IL 60108-5602 | 2008-04-08 |
| 1518086826 | M&copticalofillinois | Optometrist | 400 W Army Trail Rd, Bloomingdale, IL 60108-1379 | 2007-03-28 |
| 1467589655 | Christopher John Staron | Optometrist | 505 W Army Trail Road, Bloomingdale, IL 60108 | 2007-02-27 |
| 1457400301 | Robert Strasser | Optometrist | 102 Stratford Square Mall, Bloomingdale, IL 60108-2202 | 2007-01-09 |
| 1841354875 | Carol Lynn Kopke | Optometrist | 322 W Army Trail Rd, Ste 130, Bloomingdale, IL 60108-5613 | 2006-12-21 |
| 1265596209 | Optica Eye Center Associates, Inc. | Optometrist | 366 W Army Trail Rd, Ste. 310b, Bloomingdale, IL 60108-5601 | 2006-12-21 |
| Find all providers in BLOOMINGDALE | ||||
| City | BLOOMINGDALE |
| Zip Code | 60108 |
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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.