Active NPI
Lethuy T Nguyen, O.D.
- Optometrist
- Upland, CA
National Provider Identifier
1033285689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9953
- Practice address
- 553 N Mountain Ave
Upland, CA 91786-5016 - Phone
- (909) 985-2876
- Fax
- (909) 946-8585
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9953 | CA | Primary |
Addresses
Primary practice location
553 N Mountain Ave
Upland, CA 91786-5016
Mailing address
553 N Mountain Ave
Upland, CA 91786-5016
Phone (909) 985-2876
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0099530 | Medicaid | CA |
Other names 1
- Tanya Nguyen
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
27001 Moulton Pkwy
Suite A100
Aliso Viejo, CA 92656-3626
Phone (949) 362-6552
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaurin-Giampiccolo Partnership | Optometrist | Current | Accepting new patients |
| Tanya Optometry Corporation | Optometrist | Current | Accepting new patients |
| Mintz Family Optometry, Apc | Optometrist | Past | Accepting new patients |
Locations
27001 Moulton Pkwy
Ste A100
Aliso Viejo, CA 92656
Phone (949) 362-6552
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 4
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.
-
- Optometrist
- Aliso Viejo, CA
- NPI 1881081404
-
- Optometrist
- Upland, CA
- NPI 1922420108
-
- Optometrist
- Aliso Viejo, CA
- NPI 1548376528
-
- Optometrist
- Upland, CA
- NPI 1598850893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1033285689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "553 N MOUNTAIN AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917865016",
"telephone_number": "909-985-2876",
"fax_number": "909-946-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "553 N MOUNTAIN AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "917865016",
"telephone_number": "909-985-2876",
"fax_number": "909-946-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LETHUY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0099530",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TANYA",
"last_name": "NGUYEN",
"credential": "O.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.