BAO-KIM CAO NGUYEN (OD) – Optometrist, NPI 1619045929

BAO-KIM CAO NGUYEN (OD) is a healthcare provider. based in Boston, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4526 (MA). The NPI Number for BAO-KIM CAO NGUYEN (OD) is 1619045929

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
BAO-KIM CAO NGUYEN (OD)
NPI
1619045929
Phone
(617) 523-5006
Address
175 CAMBRIDGE ST
Enumeration Date
4 December 2006
Last Update Date
1 July 2009

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
6175237006
Graduation Year
2005 (21 years ago)
PAC ID
7810921228
Group Practice PAC ID
9537216361
Professional Enrollment ID
I20050926000174
Address ID
MA021142743BO175XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,116 OPTOMETRY in MA

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Provider Addresses for BAO-KIM CAO NGUYEN (OD)

  • Blackbird Doughnuts, 175, Cambridge Street, Downtown Crossing, West End, Boston, Suffolk County, Massachusetts, 02114, United States

    BOSTON, MA 021142743

    Phone: (617) 523-5006

    Type: Location

  • 120, Holmes Street, Norfolk Downs, Wollaston, North Quincy, Quincy, Norfolk County, Massachusetts, 02171, United States

    #209

    QUINCY, MA 02171

    Phone: (857) 526-1299

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $944.

Total Amount is formed as General ($944) + Research ($0) + Ownership ($0) = $944.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: CooperVision Inc. ($466).

Total Amount

$944

General + Research + Ownership

Payments

27

Total payment records

General Amount

$944

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2005-09-26

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
I20050926000174IOptometryMATBD

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 retina5353$0
92082Exam of visual field with intermediate testing4949$0
92014Established patient complete exam of visual system2323$0
92004New patient complete exam of visual system1111$0
View full utilization report →

Insurance plans in this area (ZIP 02114)

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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: 9537216361View full group profile
NameSpecialtyState
O P T O M E T R YMA
O P T O M E T R YMA
O P T O M E T R YNY
O P T O M E T R YMA

Reviews

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Frequently asked questions

What NPI should I save for BAO-KIM CAO NGUYEN (OD)?
Save NPI 1619045929 if you need a stable reference for BAO-KIM CAO NGUYEN (OD).
Is BAO-KIM CAO NGUYEN (OD)'s NPI currently valid?
The extract we use shows BAO-KIM CAO NGUYEN (OD) as active.
Can you summarize BAO-KIM CAO NGUYEN (OD)'s specialty in plain language?
Clinically, the directory lists BAO-KIM CAO NGUYEN (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for BAO-KIM CAO NGUYEN (OD)?
The page summarizes Boston, Massachusetts for BAO-KIM CAO NGUYEN (OD); expand the address list for detail.
What if Boston, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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