Individual provider Active NPI

Cindy Nguyen Koo, OD

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1023905882
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35993 Issued in CA
Practice address
1515 Response Rd
Sacramento, CA 95815-4805
Phone
(916) 649-1515
Fax
(916) 649-1516
NPI assigned
Jun 23, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35993 CA Primary

Addresses

Primary practice location

1515 Response Rd
Sacramento, CA 95815-4805

Mailing address

1515 Response Rd
Sacramento, CA 95815-4805
Phone (916) 649-1515

Other practice location 1

2295 Fieldstone Dr Ste 140
Lincoln, CA 95648-8807
Phone (916) 649-1515

Other practice location 2

1615 Creekside Dr Ste 110
Folsom, CA 95630-3491
Phone (916) 649-1515

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
I20250821001831 CA Practitioner - Optometry 6406356872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sacramento Eye Consultants a Med CorpGroup PAC ID 5597710319, 10 clinicians

Practice addresses (Care Compare)

1515 Response Rd
Sacramento, CA 95815-4805
Phone (916) 649-1515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sacramento Eye Consultants a Med Corp Optometrist CurrentSince Sep 1, 2025 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

1615 Creekside Dr
Ste 110
Folsom, CA 95630
Phone (916) 649-1515

2295 Fieldstone Dr
Ste 140
Lincoln, CA 95648
Phone (916) 543-0621

1515 Response Rd
Sacramento, CA 95815
Phone (916) 649-1515

Interoperability endpoints

  • Direct secure messaging: cnguyen238737@hpmg.direct-ci.net

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": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1023905882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 RESPONSE RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154805",
            "telephone_number": "916-649-1515",
            "fax_number": "916-649-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 RESPONSE RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154805",
            "telephone_number": "916-649-1515",
            "fax_number": "916-649-1516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2295 Fieldstone Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "CA",
            "postal_code": "956488807",
            "country_code": "US",
            "telephone_number": "916-649-1515",
            "fax_number": "916-649-1516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1615 Creekside Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Folsom",
            "state": "CA",
            "postal_code": "956303491",
            "country_code": "US",
            "telephone_number": "916-649-1515",
            "fax_number": "916-649-1516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOO",
        "first_name": "CINDY",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.