Individual provider Active NPI

Thuy Nguyen, O.D.

  • Optometrist
  • Palo Alto, CA
National Provider Identifier
1093147092
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14701 Issued in CA
Practice address
109 California Ave Ste D101A
Palo Alto, CA 94306
Phone
(650) 322-6656
NPI assigned
Aug 1, 2013
Last updated
Mar 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14701 CA Primary

Addresses

Primary practice location

109 California Ave Ste D101A
Palo Alto, CA 94306

Mailing address

109 California Ave Ste D101A
Palo Alto, CA 94306-1926
Phone (650) 322-6656

Other practice location 1

12549 Foothill Blvd
Rancho Cucamonga, CA 91739-9317
Phone (909) 463-0785

Other practice location 2

109 California Ave Ste D101A
Palo Alto, CA 94306
Phone (650) 322-6656

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
I20140522001721 CA Practitioner - Optometry 0143443986 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael D Le Optometric Corporation Optometrist CurrentSince May 14, 2019 Accepting new patients

Locations

109 California Ave
Ste D101A
Palo Alto, CA 94306
Phone (650) 322-6656

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1093147092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CALIFORNIA AVE STE D101A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943061926",
            "telephone_number": "650-322-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CALIFORNIA AVE STE D101A",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94306",
            "telephone_number": "650-322-6656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12549 Foothill Blvd",
            "address_purpose": "LOCATION",
            "city": "Rancho Cucamonga",
            "state": "CA",
            "postal_code": "917399317",
            "country_code": "US",
            "telephone_number": "909-463-0785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 California Ave Ste D101A",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "94306",
            "country_code": "US",
            "telephone_number": "650-322-6656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THUY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.