Justin Tuan-Anh Nguyen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34609 Issued in CA

Practice address

890 Eastlake Pkwy Ste 102
Chula Vista, CA 91914-4521

Phone

(619) 216-3937

NPI assigned

Aug 20, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pack and Nguyen OptometryGroup PAC ID 4385018175, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pack & Nguyen Optometry

  • Optometrist
  • La Jolla, CA
  • NPI 1912614454
  Medicare reassignment Care Compare group NPD Authorized official
• Total Vision PC

  dba Total Vision

  • Optometrist
  • San Diego, CA
  • NPI 1356813711
  Medicare reassignment NPD
• John C Pack, O.D. and Beverly Bianes, O.D. Inc

  • Optometrist
  • Chula Vista, CA
  • NPI 1255396461
  NPD
• Olivia K. DO, O.D., a Professional Optometric Corporation

  dba ODO Eye Care Optometry

  • Optometrist
  • La Jolla, CA
  • NPI 1578957775
  NPD
• Steven T Klein OD & Kimberly Plattner OD a Professional Corporation

  dba Total Vision Care Advanced Optometry

  • Optometrist
  • San Diego, CA
  • NPI 1861529703
  NPD (past)

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1033721063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10691 OAKBEND DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312372",
            "telephone_number": "408-202-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 EASTLAKE PKWY STE 102",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144521",
            "telephone_number": "619-216-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JUSTIN",
        "middle_name": "TUAN-ANH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hiensi Vo Nguyen, PHARM.D.
• Hong Xuan Nguyen, PHARM. D.
• Jelina Nguyen, RPH
• Jennifer Tran Nguyen, PHARM.D.
• Julie Nhi Nguyen
• Kelley Nguyen
• Ken Thanh Nguyen
• Linh Thuy Nguyen, MD
• Michele Nguyen
• Naomi-Trang Nguyen, D.D.S.

• Optometrist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.

Verify at the official NPI Registry.