DR. PHUC MINH NGUYEN (OD) – Optometrist, NPI 1407359771

DR. PHUC MINH NGUYEN (OD) is a healthcare provider. based in Salem, Oregon. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4356ATI (OR). The NPI Number for DR. PHUC MINH NGUYEN (OD) is 1407359771

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHUC MINH NGUYEN (OD)
NPI
1407359771
Phone
Not provided
Address
3604 MEADOW PARK LOOP NE
Enumeration Date
13 March 2018
Last Update Date
13 March 2018

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5036240666
Graduation Year
2016 (10 years ago)
PAC ID
5597285452
Group Practice PAC ID
2466351606
Professional Enrollment ID
I20250221001450
Address ID
OR972234453TI9730XRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

672 OPTOMETRY in OR

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Provider Addresses for DR. PHUC MINH NGUYEN (OD)

  • 3604 MEADOW PARK LOOP NE

    SALEM, OR 973051582

    Phone:

    Type: Mailing

  • Ulali Drive Northeast, Keizer Station, Keizer, Marion County, Oregon, 97303, United States

    KEIZER, OR 973031697

    Phone: (503) 428-5096

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $246.

Total Amount is formed as General ($246) + Research ($0) + Ownership ($0) = $246.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Alcon Vision LLC ($140).

Total Amount

$246

General + Research + Ownership

Payments

7

Total payment records

General Amount

$246

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2025-02-21

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
I20250221001450IOptometryORTBD

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 97305)

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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: 2466351606View full group profile
NameSpecialtyState
O P T O M E T R YOR
O P T O M E T R YOR
O P T O M E T R YOR
O P T O M E T R YOR
O P T O M E T R YOR

Reviews

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Frequently asked questions

Does DR. PHUC MINH NGUYEN (OD) have a public NPI I can cite?
Public records show DR. PHUC MINH NGUYEN (OD) under NPI 1407359771.
Is DR. PHUC MINH NGUYEN (OD)'s NPI status active today?
Active status means DR. PHUC MINH NGUYEN (OD)'s NPI record is not deactivated in the public file.
How should patients interpret DR. PHUC MINH NGUYEN (OD)'s specialty?
The extract shows Optometrist for DR. PHUC MINH NGUYEN (OD). Clinical services aligned with this taxonomy classification.
Can patients visit DR. PHUC MINH NGUYEN (OD) in Salem, Oregon?
For routing, start with Salem, Oregon for DR. PHUC MINH NGUYEN (OD), then verify phone and hours locally.
Who maintains DR. PHUC MINH NGUYEN (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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