XUANDAO L NGUYEN OD
NPI 1124274980
Optometrist in Atlanta, GA
About Xuandao L Nguyen Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
XUANDAO L NGUYEN OD (NPI 1124274980) is an individual optometrist in Atlanta, Georgia, licensed in Georgia (OPT002489) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2008).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Xuandao L Nguyen Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Xuandao Nguyen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30315
- Reassigned Medicare billing, Georgia enrollment
- 7 clinicians in this Medicare group
Alpharetta, GA 30022
- Reassigned Medicare billing, Georgia enrollment
- 40 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30315 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ATLANTA, GA 30315
ATLANTA, GA 30315
ATLANTA, GA 30315
ATLANTA, GA 30315
ATLANTA, GA 30315
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Xuandao Nguyen's NPI number?
The NPI number for Xuandao Nguyen is 1124274980. It was assigned to this individual provider in the NPPES registry on August 13, 2008.
Where is Xuandao Nguyen located?
Xuandao Nguyen practices at 777 Cleveland Ave SW Ste 616, Atlanta, GA 30315. The listed phone number is (404) 766-6268.
What is Xuandao Nguyen's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Xuandao Nguyen enrolled in Medicare?
Yes. Xuandao Nguyen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Xuandao Nguyen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Xuandao Nguyen reassigns Medicare benefits to 2 organizations: Nassar Enterprises,llc (Atlanta, GA) and Clarkson Optometry Georgia Inc (Alpharetta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Xuandao Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Xuandao Nguyen accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 13 other insurers list Xuandao Nguyen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Xuandao Nguyen was last updated on June 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Xuandao L Nguyen, OD · NPI 1124274980
Optometrist provider in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since August 13, 2008.
## Identity
- **NPI:** 1124274980 (Entity type: Individual)
- **Enumerated:** August 13, 2008
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** OPT002489 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 777 CLEVELAND AVE SW, STE 616, Atlanta, GA 30315-7129
- **Phone:** (404) 766-6268
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Nassar Enterprises,llc (NPI 1609056480, Atlanta, GA); Clarkson Optometry Georgia Inc (NPI 1184802670, Alpharetta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Southern College Of Optometry, class of 2008
## Record status
- **NPPES last updated:** June 27, 2011
- **Other identifiers:** Medicare PIN 202I415684 (GA); Other 1124274980
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Source: [NPI Profile](https://npiprofile.com/npi/1124274980) · Data from the CMS NPPES public registry.