MICHAEL NGUYEN – Optometrist, NPI 1184454365

MICHAEL NGUYEN is a healthcare provider. based in Las vegas, Nevada. specializing in OPTOMETRY. They hold a License No. 1212 (NV). The NPI Number for MICHAEL NGUYEN is 1184454365

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL NGUYEN
NPI
1184454365
Phone
Not provided
Address
4045 SPENCER ST STE A59
Enumeration Date
3 August 2024
Last Update Date
3 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7027522020
Graduation Year
2024 (2 years ago)
PAC ID
1951841287
Group Practice PAC ID
6507993854
Professional Enrollment ID
I20240912002704
Address ID
NV891171995LA8145XAVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

386 OPTOMETRY in NV

Provider Addresses for MICHAEL NGUYEN

  • 4045 SPENCER ST STE A59

    LAS VEGAS, NV 891199311

    Phone:

    Type: Mailing

  • 2021 N RAINBOW BLVD STE 100

    LAS VEGAS, NV 891087098

    Phone: (240) 401-6721

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-09-12

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
I20240912002704IOptometryNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89119)

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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: 6507993854View full group profile
NameSpecialtyState
O P T O M E T R YCA
-NV
-NV
O P T O M E T R YNV
O P T O M E T R YNV
O P T O M E T R YCA
O P T O M E T R YNV
O P T O M E T R YNV
O P T O M E T R YMI
O P T O M E T R YNV

Reviews

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Frequently asked questions

Can I verify MICHAEL NGUYEN with an NPI only?
You can start verification with NPI 1184454365 for MICHAEL NGUYEN, then check state licensing separately.
Can I rely on MICHAEL NGUYEN being an active provider?
As of the registry snapshot, MICHAEL NGUYEN is marked active.
What is MICHAEL NGUYEN's primary classification?
Optometrist is the headline specialty for MICHAEL NGUYEN here. Clinical services aligned with this taxonomy classification.
What address line appears for MICHAEL NGUYEN?
MICHAEL NGUYEN's geographic hint is Las Vegas, Nevada in our summary view.
Why does MICHAEL NGUYEN 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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