KIMBERLY NGOC TRAM NGUYEN OD
NPI 1922828573
Optometrist in Chicago, IL

Q: What is Kimberly Nguyen's NPI number?

The NPI number for Kimberly Nguyen is 1922828573. It was assigned to this individual provider in the NPPES registry on October 16, 2024.

Q: What is Kimberly Nguyen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kimberly Nguyen was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since October 16, 2024PECOS EnrolledAccepts Medicare Assignment

3241 S MICHIGAN AVE, CHICAGO, IL 60616(312) 949-7215 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kimberly Ngoc Tram Nguyen Od NPPES

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

KIMBERLY NGOC TRAM NGUYEN OD (NPI 1922828573) is an individual optometrist in Chicago, Illinois, licensed in Illinois (046011996) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2024).

NPPES Registry Identity

NPI1922828573

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameKIMBERLY NGOC TRAM NGUYENCredential: OD

Location Address3241 S MICHIGAN AVEChicago, IL 60616-4201

Mailing Address3241 S Michigan AveChicago, IL 60616-4201 · (312) 949-7215

Phone(312) 949-7215

Sole ProprietorNo

Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2024

Enumeration DateOctober 16, 2024

Last NPPES UpdateJuly 17, 2025

NPPES CertifiedJuly 17, 2025

✔ NPI 1922828573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in IL · 046011996✔ Licensed in TX · 11283T

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.

3241 S MICHIGAN AVE, Chicago, IL 60616

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Ngoc Tram 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.

PECOS PAC ID2860909546

PECOS Enrollment IDI20250728002851

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60616 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

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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 20

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

NATHAN MICHAEL OKANO

Optometrist