Tam Nguyen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34110TLG Issued in CA

Practice address

4155 Moorpark Ave Ste 21
San Jose, CA 95117-1714

Phone

(408) 243-2020

NPI assigned

Aug 21, 2018

Last updated

Sep 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• For Your Eyes Only Ophthalmic Medical Corp.

  • Optometrist
  • Walnut Creek, CA
  • NPI 1386034452
  Medicare reassignment NPD
• Yeh Optometry, a Professional Optometric Corporation

  • Corneal and Contact Management Optometrist
  • Los Gatos, CA
  • NPI 1568970994
  Medicare reassignment
• For Your Eyes Only Ophthalmic Medical Corp.

  • Optometrist
  • Castro Valley, CA
  • NPI 1861991234
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1053891762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 OLIVE AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945395263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 MOORPARK AVE STE 21",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951171714",
            "telephone_number": "408-243-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TAM",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34110TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Truc Ha Nguyen
• Steven Huynh Nguyen, PHARM.D.
• Suzanne Nguyen, DDS
• Swan Nguyen
• Tai Nguyen
• Tam Nguyen, PHARMD.
• Tam Hoang Nguyen, D.O.
• Tam T. Nguyen, D.D.S., A.P.C.
• Tam Thi Nguyen, D.D.S.
• Tam Vo Nguyen, PHARMD

• Optometrist in San Jose, CA
• Providers in San Jose, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.

Verify at the official NPI Registry.