Individual provider Active NPI

John Bao Vinh, O.D.

  • Optometrist
  • National City, CA
National Provider Identifier
1003102724
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14177 Issued in CA
Practice address
655 Euclid Ave Ste 302
National City, CA 91950-2973
Phone
(619) 472-1010
Fax
(619) 544-2184
NPI assigned
Jun 21, 2011
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14177 CA Primary

Addresses

Primary practice location

655 Euclid Ave Ste 302
National City, CA 91950-2973

Mailing address

655 Euclid Ave Ste 302
National City, CA 91950-2973
Phone (619) 472-1010

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
I20200615001560 CA Practitioner - Optometry 7012339310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

655 Euclid Ave
Suite 302
National City, CA 91950-2973
Phone (619) 472-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Institute of California Medical Group, a California Medical Par Optometrist CurrentSince Jul 1, 2020 Accepting new patients

Locations

9500 Stockdale Hwy
Ste 108
Bakersfield, CA 93311
Phone (661) 663-8500

11525 Brookshire Ave
Downey, CA 90241
Phone (562) 861-0954

450 Fletcher Pkwy
Ste 112
El Cajon, CA 92020
Phone (619) 440-5400

320 Santa Fe Dr
Ste 104
Encinitas, CA 92024
Phone (760) 943-0501

9850 Genesee Ave
Ste 310
La Jolla, CA 92037
Phone (619) 457-3010

5565 Grossmont Center Dr
Ste 3
La Mesa, CA 91942
Phone (619) 465-3443

5565 Grossmont Center Dr
Ste 551
La Mesa, CA 91942
Phone (619) 465-2020

7339 El Cajon Blvd
Ste A
La Mesa, CA 91942
Phone (619) 722-8460

2240 E Plaza Blvd
Ste F
National City, CA 91950
Phone (619) 470-2700

655 Euclid Ave
Ste 302
National City, CA 91950
Phone (619) 472-1010

6945 El Cajon Blvd
San Diego, CA 92115
Phone (619) 697-4600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1003102724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE STE 302",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502973",
            "telephone_number": "619-472-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE STE 302",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502973",
            "telephone_number": "619-472-1010",
            "fax_number": "619-544-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINH",
        "first_name": "JOHN",
        "middle_name": "BAO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.