Active NPI
Newton Nguyen, O.D.
- Optometrist
- Roseville, CA
National Provider Identifier
1043507155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14867
- Practice address
- 1213 Pleasant Grove Blvd
Roseville, CA 95678-6989 - Phone
- (916) 789-1959
- Fax
- (916) 789-1961
- NPI assigned
- Jul 9, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 706 | NV | |
| Optometrist | 152W00000X | 14867 | CA | Primary |
Addresses
Primary practice location
1213 Pleasant Grove Blvd
Roseville, CA 95678-6989
Mailing address
6350 Wexford Cir
Citrus Heights, CA 95621-4939
Phone (408) 772-9569
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 706 | NV | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roseville Vision Center Inc an Optometric Corporation | Current | Accepting new patients | |
| Newton Nguyen Optometry, Inc., a Professional Corporation | Optometrist | Current | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients |
Locations
5104 Commons Dr
Rocklin, CA 95677
Phone (916) 251-3346
1213 Pleasant Grove Blvd
Roseville, CA 95678
Phone (916) 789-1959
Organizations & group practices 3
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.
-
- Corneal and Contact Management Optometrist
- Roseville, CA
- NPI 1922566116
-
- Optometrist
- Rocklin, CA
- NPI 1811696859
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1043507155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6350 WEXFORD CIR",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956214939",
"telephone_number": "408-772-9569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 PLEASANT GROVE BLVD",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956786989",
"telephone_number": "916-789-1959",
"fax_number": "916-789-1961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "NEWTON",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-09",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NV",
"license": "706",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.