Individual provider Active NPI

Hau Andy Nguyen, OD

  • Optometrist
  • West Jordan, UT
National Provider Identifier
1043856487
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11555545-9934 Issued in UT
Practice address
3857 West Campus View Drive
Suite 110
West Jordan, UT 84084
Phone
(801) 601-3231
NPI assigned
Nov 20, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34461TLG CA
Optometrist 152W00000X 11555545-9934 UT Primary

Addresses

Primary practice location

3857 West Campus View Drive
Suite 110
West Jordan, UT 84084

Mailing address

3857 West Campus View Drive
Suite 110
West Jordan, UT 84084
Phone (801) 601-3231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34461TLGCAMDOptometrist
11555545-9934UTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
National Vision Inc Optometrist CurrentSince Nov 22, 2020 Accepting new patients
America'S Best Contacts & Eyeglasses PastSince Jan 1, 2020 Accepting new patients

Locations

3857 W Campus View Dr
Ste 110
West Jordan, UT 84084
Phone (801) 601-3231

Networks

  • UT PPO D-SNP
  • UT PPO

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": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1043856487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3857 WEST CAMPUS VIEW DRIVE",
            "address_2": "SUITE 110",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "84084",
            "telephone_number": "801-601-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3857 WEST CAMPUS VIEW DRIVE",
            "address_2": "SUITE 110",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "84084",
            "telephone_number": "801-601-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HAU ANDY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-20",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34461TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "11555545-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Jordan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.