LY THI NGUYEN


Address: 4691 Old Canoe Creek Road, St Cloud, FL 34769
Phone: 4078912010

LY THI NGUYEN (NPI# 1942237193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942237193
Entity Type Individual
Full Name LY THI NGUYEN
Credential M.D.
Practice Address 4691 Old Canoe Creek Road
St Cloud
FL 34769
Practice Telephone 4078912010
Practice Fax Number 4078918211
Mailing Telephone 4078912010
Mailing Fax Number 4078918211
Enumeration Date 2006-06-26
Last Update Date 2013-06-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology ME 94908 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
FL DEA REGISTRATION NUMBER BN9611446 01
FL MEDICAL LICENSE NUMBER ME 94908 01

Other Providers LY NGUYEN

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1790976280 Ly Ngoc Nguyen Optometrist 16406 Blue Grass Ln, Chino Hills, CA 91709-2301 2007-08-08
1588874192 Ly T Nguyen Dentist 1750 Clear Lake Ave, Milpitas, CA 95035-7083 2007-05-23
1992842421 Ly Mai Nguyen Dentist 1000 S Anaheim Blvd, Ste. 103, Anaheim, CA 92805-5801 2007-02-01
1124056577 Ly H Nguyen Optometrist 26321 Northwest Freeway, Ste 500, Cypress, TX 77429 2006-06-28
1801867049 Ly Thi Nguyen Dentist 301 W End Ave, Dickson, TN 37055-1725 2006-01-27
1013536374 Ly T Nguyen Pharmacist 12225 Highway 6, Fresno, TX 77545-8805 2020-04-15
1568932770 Ly Khanh Nguyen Pharmacist 78935 Highway 111, La Quinta, CA 92253-2072 2018-11-30
1720340896 Ly Ngoc Nguyen Dentist 11201 Benton St, Loma Linda, CA 92357-1000 2012-06-13

Office Location

Street Address 4691 OLD CANOE CREEK ROAD
City ST CLOUD
State FL
Zip Code 34769

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053877506 Premier Med Pa Clinic/Center 2906 17th St., St Cloud, FL 34769 2019-02-20
1760975387 Mayra Rosado Psychologist Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 2018-06-08
1598282113 Salud Urgent Care LLC Clinic/Center 3107 13th Street, Saint Cloud, FL 34769 2017-08-24
1710332671 American Healthcare Community Behavioral Services LLC Social Worker 1203 Florida Ave., St. Cloud, FL 34769 2016-04-28
1215395785 Elite Garden Assisted Living Facility 4319 Neptune Road, St Cloud, FL 34769 2016-01-29
1336506732 Adventist Health System/sunbelt, Inc. Clinic/Center 4660 13th Street, St. Cloud, FL 34769 2016-01-15
1306202064 Megan Rose Mcclave Registered Nurse 524 13th Street, St. Cloud, FL 34769 2016-01-12
1821473133 Angela Creager Counselor 446 Hamilton Park Circle, St. Cloud, FL 34769 2015-07-28
1730574906 Jordico LLC Assisted Living Facility 4417 13th Street, Suite 142, Saint Cloud, FL 34769 2015-04-03
1255731667 Judimar Rodriguez Behavioral Analyst 1605 Eastern Ave, Saint Cloud, FL 34769 2014-09-04
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457509531 St Cloud Eye Center Inc Ophthalmology 4589 H. C. Yates Lane, St Cloud, FL 34769 2008-09-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1740888353 Jonathan M Frantz, Md Pa Ophthalmology 18500 Veterans Blvd Unit 4, Port Charlotte, FL 33954-1035 2020-10-15
1518576818 Specialty Eye Surgeons, Pa Ophthalmology 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 2020-07-23
1770191231 Eyerad, Pllc Ophthalmology 6280 W Sample Road #202, Coral Springs, FL 33067-3173 2020-07-21
1609494566 Eye Specialists of Mid Florida, Pa Ophthalmology 3350 Harden Blvd, Lakeland, FL 33803-7939 2020-07-08
1811511207 Tampa Bay Ophthalmic Plastics LLC Ophthalmology 2963 Gulf To Bay Blvd, Ste 267, Clearwater, FL 33759-4259 2020-06-02
1841819166 St. Lucie Eye Associates, M.d. P.a. Ophthalmology 1715 S.e Tiffany Ave., Port St. Lucie, FL 34952-7511 2020-04-16
1477172708 St. Lucie Eye Associates, M.d., P.a. Ophthalmology 1302 S.w. St. Lucie West Blvd., Port St. Lucie, FL 34986-2109 2020-04-16
1598393142 Samuel Richard Bierstock Ophthalmology 417 Palm Trail, Delray Beach, FL 33483 2020-03-30
1144858721 Citrus Eye Care, Pa Ophthalmology 10549 Deerberry Dr, Land O Lakes, FL 34638-6948 2020-03-30
1922632066 St Cloud Eye Center Inc Ophthalmology 4589 Henry C Yates Lane, Saint Cloud, FL 34769-3476 2020-02-27
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Competitor

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City ST CLOUD
Zip Code 34769

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Dataset Information

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.

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