KELLY T NGUYEN (NPI# 1366757932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366757932 |
| Entity Type | Individual |
| Full Name | KELLY T NGUYEN |
| Practice Address |
87 Grandview Ave Waterbury CT 06708-2514 |
| Practice Telephone | 2034651415 |
| Practice Fax Number | 2034651481 |
| Mailing Telephone | 2034651415 |
| Mailing Fax Number | 2034651481 |
| Enumeration Date | 2010-08-08 |
| Last Update Date | 2013-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 002872 | CT | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 007550 | NY | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508407412 | Kelly Nguyen | Physical Therapist | 323 N Euclid St Spc 42, Santa Ana, CA 92703-3042 | 2019-10-02 |
| 1982180493 | Kelly Nguyen | Dentist | 17781 Santiago Blvd, Orange, CA 92861-4134 | 2018-07-17 |
| 1427457472 | Kelly Nguyen | Pharmacist | 106 Lac Felicity Dr, Luling, LA 70070-4280 | 2014-08-15 |
| 1972787182 | Kelly Nguyen | Pharmacist | 1206 Buchanan Dr, Santa Clara, CA 95051-3963 | 2007-12-24 |
| 1922608025 | Kelly Trang Nguyen | Pharmacist | 440 Atlanta Hwy Nw, Winder, GA 30680-7826 | 2020-10-28 |
| 1801410543 | Kelly Tram Anh Nguyen | Dentist | 5065 University Pkwy, Winston Salem, NC 27106-6083 | 2020-05-28 |
| 1528521408 | Kelly Nguyen | Physician Assistant | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 | 2019-04-09 |
| 1639634991 | Kelly Nguyen | Behavior Technician | 17284 Newhope St Ste 212, Fountain Valley, CA 92708-8201 | 2019-01-31 |
| 1023589587 | Kelly Dam Nguyen | Marriage & Family Therapist | 12912 Brookhurst St Ste 480, Garden Grove, CA 92840-4867 | 2018-12-10 |
| 1699242693 | Kelly Kim Nguyen | Pharmacist | 17779 Lower Boones Ferry Rd, Lake Oswego, OR 97035-5237 | 2018-10-28 |
| Street Address |
87 GRANDVIEW AVE |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699746339 | Meredith Rae Gershon | Ophthalmology | 87 Grandview Ave, Waterbury, CT 06708-2514 | 2006-01-31 |
| 1083228365 | Refocus Surgery Centers, LLC | Clinic/Center | 87 Grandview Ave, Waterbury, CT 06708-2514 | 2020-09-03 |
| 1548874936 | Refocus Eye Health of Central Connecticut, P.C. | Optometrist | 87 Grandview Ave, Waterbury, CT 06708-2514 | 2020-09-02 |
| 1285145508 | Xiuyang Guo | Optometrist | 87 Grandview Ave, Waterbury, CT 06708-2514 | 2017-10-12 |
| 1922556786 | Fatin Saleh | Optometrist | 87 Grandview Ave, Waterbury, CT 06708-2514 | 2016-09-21 |
| 1518331230 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 87 Grandview Ave, Waterbury, CT 06708-2514 | 2015-11-18 |
| 1861806002 | Neil Sameer Kalbag | Ophthalmology | 87 Grandview Ave, Waterbury, CT 06708-2514 | 2014-06-16 |
| 1962615922 | Lorenzo J Cervantes | Ophthalmology | 87 Grandview Ave, Waterbury, CT 06708-2514 | 2007-05-07 |
| 1245375880 | Olga Konykhov | Ophthalmology | 87 Grandview Ave, Waterbury, CT 06708-2514 | 2007-02-21 |
| 1124069273 | Opticare Eye Health Centers, Inc. | Clinic/Center | 87 Grandview Ave, Waterbury, CT 06708-2514 | 2006-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477097285 | Oec Waterbury LLC | Optometrist | 3528 E Main St, Waterbury, CT 06705-3873 | 2016-12-13 |
| 1386939510 | Fabian Cesar Villacis | Optometrist | 1320 W Main St Ste 3, Waterbury, CT 06708-3129 | 2011-06-15 |
| 1801966601 | Barbara Hope Kuznesof-knee | Optometrist | 910 Wolcott St., C/o Walmart Vision Center, Waterbury, CT 06705 | 2006-11-09 |
| 1508947029 | Kimberly Sue Owens | Optometrist | 910 Wolcott Street, Vision Center, Waterbury, CT 06705 | 2006-10-18 |
| 1497865729 | Domenico Trocchi | Optometrist | 481 Wolcott St, Waterbury, CT 06705-1247 | 2006-08-30 |
| 1104930619 | John Joseph Pulaski | Optometrist | 625 Wolcott St, Waterbury, CT 06705-1342 | 2006-08-19 |
| 1528018157 | Shannon M Mulligan | Optometrist | 604 Lakewood Rd, Waterbury, CT 06704-2419 | 2006-05-12 |
| 1083615850 | Audrey S Fung | Optometrist | 3600 E Main St, Waterbury, CT 06705-3851 | 2005-08-03 |
| 1841298080 | Thomas W Meaker | Optometrist | 31 N Main St, Waterbury, VT 05676-1835 | 2005-07-12 |
| 1487268702 | Clarity Eye Care LLC | Optometrist | 3600 E Main St, Waterbury, CT 06705-3851 | 2020-09-03 |
| Find all providers in WATERBURY | ||||
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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.