DAN NGUYEN (OD) – Optometrist, NPI 1811440555
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,203 OPTOMETRY in MI
Provider Addresses for DAN NGUYEN (OD)
10024 SE 240TH ST STE 220
KENT, WA 980315124
Phone: (253) 852-5440
Type: Mailing
41472 E. ANN ARBOR
PYMOUTH, MI 48170
Phone: (734) 233-6500
Type: Location
118, Cass Avenue, Mount Clemens, Macomb County, Michigan, 48043, United States
MOUNT CLEMENS, MI 480432204
Phone: (586) 468-7370
Type: Mailing
10919 158TH CT NE
REDMOND, WA 980522655
Phone: (312) 509-3101
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $154.
Total Amount is formed as General ($154) + Research ($0) + Ownership ($0) = $154.
Last reported payment date: 2024-09-04 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($84).
Total Amount
$154
General + Research + Ownership
Payments
4
Total payment records
General Amount
$154
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-04
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-08-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220819001016 | I | Optometry | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92250 | Photography of the retina | 25 | 25 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 14 | 14 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 98031)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | WA |
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