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MAI HAN NGUYEN OD
NPI 1205088168
Optometrist in Spartanburg, SC

Active since October 22, 2008PECOS Enrolled
120 DORMAN COMMERCE DR STE G, SPARTANBURG, SC 29301(864) 587-5886(864) 587-5632 Get Directions Write a Review

NPPES record last updated: October 22, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mai Han Nguyen Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAI HAN NGUYEN OD (NPI 1205088168) is an individual optometrist in Spartanburg, South Carolina, licensed in South Carolina (1527) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205088168
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameMAI HAN NGUYENCredential: OD
Location Address120 DORMAN COMMERCE DR STE GSpartanburg, SC 29301-2649
Mailing Address120 Dorman Commerce Dr Ste GSpartanburg, SC 29301-2649 · (864) 587-5886 · Fax (864) 587-5632
Phone(864) 587-5886
Fax(864) 587-5632
Sole ProprietorNo
Enumeration DateOctober 22, 2008
✔ NPI 1205088168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in SC · 1527
Definition
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.
120 DORMAN COMMERCE DR STE G, Spartanburg, SC 29301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mai Han Nguyen Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mai Han Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eye Doctors Optical Outlets PA
364 mi
Optometrist
3324 W UNIVERSITY AVE
Gainesville, FL 32607
  • Reassigned Medicare billing, Florida enrollment
  • 229 clinicians in this Medicare group
NPI 1225463763 (352) 335-3937

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RUH PATEL OD
Optometrist
120 DORMAN COMMERCE DR STE G
SPARTANBURG, SC 29301
Spartanburg County (864) 587-5886
NAITONAL VISION, INC.
Eyewear Supplier
120 DORMAN COMMERCE DR STE G
SPARTANBURG, SC 29301
Spartanburg County (864) 587-5886

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 Mai Han Nguyen's NPI number?

The NPI number for Mai Han Nguyen is 1205088168. It was assigned to this individual provider in the NPPES registry on October 22, 2008.

Where is Mai Han Nguyen located?

Mai Han Nguyen practices at 120 Dorman Commerce Dr Ste G, Spartanburg, SC 29301. The listed phone number is (864) 587-5886.

What is Mai Han Nguyen's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Mai Han Nguyen enrolled in Medicare?

Yes. Mai Han Nguyen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mai Han Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mai Han Nguyen reassigns Medicare benefits to Eye Doctors Optical Outlets PA (Gainesville, FL). The 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 Mai Han Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mai Han Nguyen accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and AvMed and 15 other insurers list Mai Han 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 Mai Han Nguyen was last updated on October 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.