David Nguyen OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

15255 Issued in CA

Legal business name

DAVID NGUYEN OD INC

Practice address

34 Silcreek Dr
San Jose, CA 95116-1358

Phone

(858) 663-5203

NPI assigned

Jul 22, 2015

Organization subpart

No

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

Authorized official

Name

Dr. David Nguyen, OD

Title

Dr.

Phone

(858) 663-5203

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1063897833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 CALIFORNIA AVE",
            "city": "SAND CITY",
            "state": "CA",
            "postal_code": "939553150",
            "telephone_number": "831-393-9332",
            "fax_number": "831-393-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SILCREEK DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161358",
            "telephone_number": "858-663-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID NGUYEN OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "858-663-5203",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "15255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jan 9, 2017; 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.