Individual provider Active NPI

Annie Duong, OD

  • Optometrist
  • San Jose, CA
National Provider Identifier
1063308708
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36022 Issued in CA
Practice address
2722 Aborn Rd
San Jose, CA 95121-1204
Phone
(408) 223-2020
NPI assigned
Jun 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 36022 CA Primary

Addresses

Primary practice location

2722 Aborn Rd
San Jose, CA 95121-1204

Mailing address

289 Agustin Narvaez St
San Jose, CA 95136-5039
Phone (408) 806-3879

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
I20250717000583 CA Order and Referring Only - OptometryPractitioner - Optometry 9830604859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36022CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Bui & Le Optometry Professional Corporation Optometrist PastSince Jun 23, 2025 Accepting new patients
Dr. Khanh Bui, O.D., P.C. Optometrist PastSince Jun 23, 2025 Accepting new patients

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": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1063308708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 AGUSTIN NARVAEZ ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951365039",
            "telephone_number": "408-806-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 ABORN RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951211204",
            "telephone_number": "408-223-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "ANNIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.