Active NPI
Hau Andy Nguyen, OD
- Optometrist
- West Jordan, UT
National Provider Identifier
1043856487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11555545-9934
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 34461TLG | CA | MD | Optometrist |
| 11555545-9934 | UT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Vision Inc | Optometrist | Current | Accepting new patients |
| America'S Best Contacts & Eyeglasses | Past | 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.
-
- Optometrist
- West Jordan, UT
- NPI 1396351383
-
- Optician
- Midvale, UT
- NPI 1205868759
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.