Individual provider Active NPI

Newton Nguyen, O.D.

  • Optometrist
  • Roseville, CA
National Provider Identifier
1043507155
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14867 Issued in CA
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

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220707003441 CA Practitioner - Optometry 8921274077 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
706NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roseville Vision Center Inc an Optometric Corporation CurrentSince Apr 1, 2025 Accepting new patients
Newton Nguyen Optometry, Inc., a Professional Corporation Optometrist CurrentSince Mar 30, 2025 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.

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

Verify at the official NPI Registry.