Individual provider Active NPI

Thanh-VI Le Nguyen, O.D.

  • Optometrist
  • La Quinta, CA
National Provider Identifier
1003043860
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13902 Issued in CA
Practice address
79710 Highway 111 Ste 101
La Quinta, CA 92253-6516
Phone
(760) 342-6900
Fax
(760) 841-5403
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13902 CA Primary

Addresses

Primary practice location

79710 Highway 111 Ste 101
La Quinta, CA 92253-6516

Mailing address

79710 Highway 111
Suite 101
La Quinta, CA 92253-6516
Phone (760) 342-6900

Other practice location 1

37029 Cook St Ste 105
Palm Desert, CA 92211-2968
Phone (760) 342-6900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@deaeyes.compulinkdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101222000438 CA Practitioner - Optometry 1759579469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Eye Associates a Professional CorporationGroup PAC ID 4880969351, 5 clinicians
Clarion Optometry Group Prof CorpGroup PAC ID 0042538464, 4 clinicians

Practice addresses (Care Compare)

37029 Cook St
Suite 105
Palm Desert, CA 92211-2968
Phone (760) 342-6900

56970 Yucca TRL
Suite 101
Yucca Valley, CA 92284-7911
Phone (760) 228-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Clarion Optometry Group Prof Corp Optometrist CurrentSince Sep 1, 2016 Accepting new patients

Locations

42625 Jackson St
Indio, CA 92203
Phone (760) 342-5800

56970 Yucca Trl
Ste 101
Yucca Valley, CA 92284
Phone (760) 228-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1003043860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79710 HIGHWAY 111",
            "address_2": "SUITE 101",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922536516",
            "telephone_number": "760-342-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79710 HIGHWAY 111 STE 101",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922536516",
            "telephone_number": "760-342-6900",
            "fax_number": "760-841-5403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37029 Cook St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922112968",
            "country_code": "US",
            "telephone_number": "760-342-6900",
            "fax_number": "760-841-5403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THANH-VI",
        "middle_name": "LE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@deaeyes.compulinkdirect.com",
            "affiliation": "N",
            "endpointDescription": "Compulink EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "79710 Highway 111 Ste 101",
            "city": "LA Quinta",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922536516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

Verify at the official NPI Registry.