DR. JIMMY TUY NGUYEN (O.D.) – Optometrist, NPI 1962420224

DR. JIMMY TUY NGUYEN (O.D.) is a healthcare provider. based in Wynnewood, Pennsylvania. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OEG-001886 (PA). The NPI Number for DR. JIMMY TUY NGUYEN (O.D.) is 1962420224

Main info

Male
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. JIMMY TUY NGUYEN (O.D.)
NPI
1962420224
Phone
(610) 930-3312
Address
243 HAVERFORD RD
Enumeration Date
17 July 2006
Last Update Date
12 January 2012

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
6103563933
Graduation Year
2005 (21 years ago)
PAC ID
6608990684
Group Practice PAC ID
4082738067
Professional Enrollment ID
I20100827000076
Address ID
PA190081827BR2805XPIKE400
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

1,771 OPTOMETRY in PA

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Provider Addresses for DR. JIMMY TUY NGUYEN (O.D.)

  • Haverford Road, Penn Wynne, Ardmore, Lower Merion Township, Montgomery County, Pennsylvania, 19003, United States

    WYNNEWOOD, PA 190963318

    Phone: (610) 930-3312

    Type: Mailing

  • West Chester Pike, Broomall, Marple Township, Delaware County, Pennsylvania, 19008, United States

    BROOMALL, PA 190081827

    Phone: (610) 356-3933

    Fax: (610) 356-3324

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $259.

Total Amount is formed as General ($259) + Research ($0) + Ownership ($0) = $259.

Last reported payment date: 2024-04-25 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($116).

Total Amount

$259

General + Research + Ownership

Payments

6

Total payment records

General Amount

$259

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-25

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: 2010-08-27

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
I20100827000076IOptometryPATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4645$0
99213Established patient office or other outpatient visit, 20-29 minutes3221$0
View full utilization report →

Insurance plans in this area (ZIP 19096)

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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: 4082738067View full group profile
NameSpecialtyState
O P T O M E T R YPA

Reviews

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Frequently asked questions

Does DR. JIMMY TUY NGUYEN (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JIMMY TUY NGUYEN (O.D.) uses 1962420224.
Is DR. JIMMY TUY NGUYEN (O.D.) still practicing?
DR. JIMMY TUY NGUYEN (O.D.) is currently listed as active in the public NPI registry.
What is DR. JIMMY TUY NGUYEN (O.D.)'s primary classification?
Optometrist is the headline specialty for DR. JIMMY TUY NGUYEN (O.D.) here. Clinical services aligned with this taxonomy classification.
Does DR. JIMMY TUY NGUYEN (O.D.) list a practice location?
Patients near Wynnewood, Pennsylvania may find DR. JIMMY TUY NGUYEN (O.D.) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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