XUANDAO L NGUYEN (OD) – Optometrist, NPI 1124274980

XUANDAO L NGUYEN (OD) is a healthcare provider. based in Atlanta, Georgia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT002489 (GA). The NPI Number for XUANDAO L NGUYEN (OD) is 1124274980

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
XUANDAO L NGUYEN (OD)
NPI
1124274980
Phone
(404) 766-6268
Address
777 CLEVELAND AVE SW
Enumeration Date
13 August 2008
Last Update Date
27 June 2011

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
7706148577
Graduation Year
2008 (18 years ago)
PAC ID
1153499884
Group Practice PAC ID
5193732949
Professional Enrollment ID
I20110920000207
Address ID
GA300241949SU4320XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

958 OPTOMETRY in GA

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Provider Addresses for XUANDAO L NGUYEN (OD)

  • 777, Cleveland Avenue Southwest, Atlanta, Georgia, 30315, United States

    STE 616

    ATLANTA, GA 303157129

    Phone: (404) 766-6268

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $978.

Total Amount is formed as General ($978) + Research ($0) + Ownership ($0) = $978.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($403).

Total Amount

$978

General + Research + Ownership

Payments

21

Total payment records

General Amount

$978

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110920000207IOptometryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1413$0
View full utilization report →

Insurance plans in this area (ZIP 30315)

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Provider's Procedures

XUANDAO L NGUYEN (OD) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYGA92083Measurement of field of vision during daylight conditions124124
OPTOMETRYGA92134Diagnostic imaging of retina1616

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193732949View full group profile
NameSpecialtyState
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YGA
O P T O M E T R YTX
O P T O M E T R YGA
O P T O M E T R YGA
-GA
O P T O M E T R YGA

Reviews

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Frequently asked questions

What is XUANDAO L NGUYEN (OD)'s NPI number?
XUANDAO L NGUYEN (OD)'s NPI is 1124274980 — the number used across U.S. healthcare to identify this provider.
Is XUANDAO L NGUYEN (OD) shown as active in public data?
Registry records indicate XUANDAO L NGUYEN (OD) maintains an active NPI.
What kind of doctor is XUANDAO L NGUYEN (OD)?
XUANDAO L NGUYEN (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
Where in Georgia is XUANDAO L NGUYEN (OD) registered?
Use Atlanta, Georgia as the headline location for XUANDAO L NGUYEN (OD) here.
Can I trust this NPI listing for XUANDAO L NGUYEN (OD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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