Active NPI
Angela Vuong, OD
- Optometrist
- Milpitas, CA
National Provider Identifier
1053875922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34006TLG
- Practice address
- 138 N Milpitas Blvd
Milpitas, CA 95035-4401 - Phone
- (408) 262-2020
- NPI assigned
- Jan 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 34006TLG | CA | Primary |
Addresses
Primary practice location
138 N Milpitas Blvd
Milpitas, CA 95035-4401
Mailing address
138 N Milpitas Blvd
Milpitas, CA 95035-4401
Phone (408) 262-2020
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191119003300 | CA | Order and Referring Only - Optometry | 7012349665 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34006TLG | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583107200000",
"number": "1053875922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 N MILPITAS BLVD",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950354401",
"telephone_number": "408-262-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 N MILPITAS BLVD",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950354401",
"telephone_number": "408-262-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VUONG",
"first_name": "ANGELA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-24",
"last_updated": "2020-03-02",
"certification_date": "2020-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34006TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milpitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.