JACKIE K NGUYEN (NPI# 1326094533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326094533 |
| Entity Type | Individual |
| Full Name | JACKIE K NGUYEN |
| Credential | MD |
| Practice Address |
53 Sewall Street Portland ME 04102 |
| Practice Telephone | 2078282020 |
| Practice Fax Number | 2077737034 |
| Mailing Telephone | 2078282020 |
| Mailing Fax Number | 2077737034 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2010-05-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 017896 | ME | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 433089999 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998185 | Jackie Nguyen | Student in an Organized Health Care Education/Training Program | 18201 Tolusa Pl, Morgan Hill, CA 95037-2987 | 2020-06-30 |
| 1043761737 | Jackie Nguyen | Pharmacist | 4600 7th St, Walmart Pharmacy, Bay City, TX 77414-8743 | 2016-10-18 |
| 1508314147 | Jackie Nguyen | Pharmacist | 2720 Fm 1463 Rd, Katy, TX 77494-3827 | 2016-09-12 |
| 1275884934 | Jackie Nguyen | Case Manager/Care Coordinator | 2001 The Alameda, San Jose, CA 95126-1136 | 2012-09-20 |
| 1669704961 | Jackie Nguyen | Dentist | 17150 Euclid St Ste 319, Fountain Valley, CA 92708-4092 | 2010-02-11 |
| 1144434267 | Jackie Anh Nguyen | Case Manager/Care Coordinator | 1031 25th St, San Diego, CA 92102-2102 | 2007-05-09 |
| 1710046420 | Jackie Nguyen | Nurse Practitioner | 441 N Lakeview Ave, Anaheim, CA 92807-3028 | 2006-12-08 |
| Street Address |
53 SEWALL STREET |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376599381 | Eyecare Medical Group | Clinic/Center | 53 Sewall Street, Portland, ME 04102-2625 | 2006-05-25 |
| 1184729915 | Eyecare Medical Group Optical Shop | Eyewear Supplier (Equipment, not the service) | 53 Sewall Street, Portland, ME 04102 | 2006-09-14 |
| 1467557280 | Eyecare Medical Group | Ophthalmology | 53 Sewall Street, Portland, ME 04102 | 2006-09-14 |
| 1003910126 | Scott M Steidl | Ophthalmology | 53 Sewall Street, Portland, ME 04102-2625 | 2006-09-11 |
| 1386651479 | Jordan Eric Sterrer | Ophthalmology | 53 Sewall Street, Portland, ME 04102 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003357831 | Sungjae Yang | Ophthalmology | 3375 Sw Terwilliger Bld, Casey Eye Institue, Portland, OR 97239-3098 | 2017-03-13 |
| 1538522669 | Priscilla Quynh-phuong Vu | Ophthalmology | 515 Sw Campus Dr, Portland, OR 97239-3130 | 2016-04-05 |
| 1861736902 | Asem Alqudah | Ophthalmology | 4730 Sw Luradel St Apt 6, Portland, OR 97219-6841 | 2012-11-15 |
| 1184912925 | Mehrdad Malihi | Ophthalmology | 10940 Sw Barnes Rd # 132, Portland, OR 97225-5368 | 2011-07-14 |
| 1275820714 | Aristomenis Thanos | Ophthalmology | 1040 Nw 22nd Ave Bldg 2, Portland, OR 97210-3057 | 2011-07-06 |
| 1437440435 | Jessica S Watson | Ophthalmology | 15 Lowell Street, Portland, ME 04102-2726 | 2011-04-25 |
| 1497955777 | Paul James Mackenzie | Ophthalmology | 1040 Nw 22nd Ave Fl 2, Portland, OR 97210-3057 | 2007-07-24 |
| 1013127075 | Michael David Straiko | Ophthalmology | 1040 Nw 22nd Ave., Suite 200, Portland, OR 97210 | 2007-05-22 |
| 1952515645 | Jay Brandon Futterman | Ophthalmology | 3719 Se Market St, Portland, OR 97214-5147 | 2007-05-10 |
| 1063541381 | Thomas William Lindgren | Ophthalmology | 4702 Sw Scholls Ferry Rd # 104, Portland, OR 97225-1667 | 2007-03-04 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.