DR. JENNIFER THI NGUYEN (OD) – Optometrist, NPI 1710539283
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
236 OPTOMETRY in HI
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Provider Addresses for DR. JENNIFER THI NGUYEN (OD)
2055, North King Street, Kalihi Kai, Honolulu, Honolulu County, Hawaii, 96819, United States
STE 100
HONOLULU, HI 968193462
Phone: (808) 533-7400
Fax: (808) 521-7798
Type: Mailing
101, North King Street, The Arts District, Chinatown, Honolulu, Honolulu County, Hawaii, 96817, United States
HONOLULU, HI 968193462
Phone: (808) 533-7400
Type: Location
955 W SOUTHERN AVE STE 101
MESA, AZ 852104903
Phone: (480) 961-1865
Fax: (480) 893-8172
Type: Mailing
1650 E CAMELBACK RD STE 160
PHOENIX, AZ 850163947
Phone: (602) 277-3348
Fax: (602) 264-2715
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $1,202.
Total Amount is formed as General ($1,202) + Research ($0) + Ownership ($0) = $1,202.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($440).
Total Amount
$1,202
General + Research + Ownership
Payments
16
Total payment records
General Amount
$1,202
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2023-10-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190920003061 | I | Optometry | HI | TBD |
| I20231004002777 | I | Optometry | AZ | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 56 | 55 | $0 |
| 92004 | New patient complete exam of visual system | 27 | 27 | $0 |
Insurance plans in this area (ZIP 96819)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | SC | |
| O P T O M E T R Y | VA | |
| O P T O M E T R Y | MD | |
| O P T O M E T R Y | MD | |
| - | VA | |
| O P T O M E T R Y | PA | |
| - | CA | |
| - | OK | |
| O P T O M E T R Y | VA |
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