DR. PHUONG THANH NGUYEN (O.D.) – Optometrist, NPI 1164855698

DR. PHUONG THANH NGUYEN (O.D.) is a healthcare provider. based in Quincy, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4990 (MA). The NPI Number for DR. PHUONG THANH NGUYEN (O.D.) is 1164855698

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHUONG THANH NGUYEN (O.D.)
NPI
1164855698
Phone
(617) 858-4420
Address
212 COMMON ST
Enumeration Date
20 August 2013
Last Update Date
20 August 2013

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
-
Graduation Year
2013 (13 years ago)
PAC ID
5991933004
Group Practice PAC ID
4284645086
Professional Enrollment ID
I20140117001654
Address ID
MA021252322DO500XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,116 OPTOMETRY in MA

Provider Addresses for DR. PHUONG THANH NGUYEN (O.D.)

  • 212 COMMON ST

    QUINCY, MA 021694709

    Phone: (617) 858-4420

    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 1 Open Payments records for all available years, with a total value of $129.

Total Amount is formed as General ($129) + Research ($0) + Ownership ($0) = $129.

Last reported payment date: 2023-10-11 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($129).

Total Amount

$129

General + Research + Ownership

Payments

1

Total payment records

General Amount

$129

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-11

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: 2014-01-17

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
I20140117001654IOptometryMATBD

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
92250Photography of the retina3231$0
92133Imaging of optic nerve1915$0
92083Exam of visual field with extended testing1513$0
View full utilization report →

Insurance plans in this area (ZIP 02169)

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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: 4284645086View full group profile
NameSpecialtyState
-MA
Nurse PractitionerMA
Family PracticeMA
O B S T E T R I C S/ G Y N E C O L O G YMA
Internal MedicineMA
Family PracticeMA
Internal MedicineMA
O P T O M E T R YMA
Family PracticeMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

Can I verify DR. PHUONG THANH NGUYEN (O.D.) with an NPI only?
You can start verification with NPI 1164855698 for DR. PHUONG THANH NGUYEN (O.D.), then check state licensing separately.
Does CMS list DR. PHUONG THANH NGUYEN (O.D.) as active?
Yes — DR. PHUONG THANH NGUYEN (O.D.) is active in the NPI listing used on this page.
What is DR. PHUONG THANH NGUYEN (O.D.)'s primary classification?
Optometrist is the headline specialty for DR. PHUONG THANH NGUYEN (O.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. PHUONG THANH NGUYEN (O.D.) on a map?
Expect Quincy, Massachusetts as a primary anchor for DR. PHUONG THANH NGUYEN (O.D.) unless the record lists multiple sites.
Why does DR. PHUONG THANH NGUYEN (O.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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