Dr Dan Phuong T Nguyen, OD | |
2110 Dorchester Ave, Suite 306, Dorchester, MA 02124-5628 | |
(617) 296-1828 | |
Not Available |
Full Name | Dr Dan Phuong T Nguyen |
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Gender | Female |
Speciality | Optometrist |
Location | 2110 Dorchester Ave, Dorchester, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245692722 | NPI | - | NPPES |
110128327A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | OPT5137 (Massachusetts) | Primary |
Provider Name | Codman Square Health Center, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396808309 PECOS PAC ID: 8123013869 Enrollment ID: O20040420000859 |
Mailing Address | Practice Location Address |
---|---|
Dr Dan Phuong T Nguyen, OD 637 Washington St, Dorchester, MA 02124-3510 Ph: (617) 825-9660 | Dr Dan Phuong T Nguyen, OD 2110 Dorchester Ave, Suite 306, Dorchester, MA 02124-5628 Ph: (617) 296-1828 |
Dr. Grace Eunhye Jeong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1353 Dorchester Ave, Dorchester, MA 02122 Phone: 617-288-3230 | |
Dr. Diane M Russo, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 637 Washington St, Dorchester, MA 02124 Phone: 617-825-9660 Fax: 617-288-7898 | |
Dr. Bina Patel, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 250 Mount Vernon St, Dorchester, MA 02125 Phone: 617-288-1140 Fax: 617-288-3910 | |
Dr. Eliot Neil Cohen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 636 Columbia Rd, Dorchester, MA 02125 Phone: 617-825-9839 | |
Boston Eyeworks Pc Optometrist Medicare: Medicare Enrolled Practice Location: 1676 Dorchester Ave, Dorchester, MA 02122 Phone: 617-288-0888 Fax: 617-288-0885 | |
Codman Square Health Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 637 Washington Street, Dorchester, MA 02124 Phone: 617-825-9660 Fax: 617-288-7898 |