Individual provider Active NPI

Evelyn Hien Nguyen-Bringas, OD

  • Optometrist
  • San Jose, CA
National Provider Identifier
1104319185
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33933TLG Issued in CA
Practice address
1055 E Brokaw Rd Ste 50
San Jose, CA 95131-2318
Phone
(408) 573-7388
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33933TLG CA Primary

Addresses

Primary practice location

1055 E Brokaw Rd Ste 50
San Jose, CA 95131-2318

Mailing address

620 N 6TH St Apt 1311
San Jose, CA 95112-4330
Phone (408) 712-5717

Other practice location 1

2107 N 1st St Ste 131
San Jose, CA 95131-2026
Phone (408) 453-5600

Other names 1

  • Dr. Hien Anh Nguyen Former name

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
I20181120000301 CA Practitioner - Optometry 8224382783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Furlong Vision Correction Medical Center IncGroup PAC ID 8729166186, 5 clinicians

Practice addresses (Care Compare)

2107 N 1St St
Suite 101
San Jose, CA 95131-2026
Phone (408) 453-5600

Merit-based Incentive Payment System (MIPS)

Final score
74.15 of 100Reported as group
Quality
50.93
Improvement activities
40
Cost
79.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33933TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Furlong Vision Correction Medical Center Inc CurrentSince Jan 13, 2024 Accepting new patients
San Jose Refractive, LLC Past Accepting new patients

Locations

2107 N 1st St
Ste 101
San Jose, CA 95131
Phone (408) 453-5600

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1104319185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 N 6TH ST APT 1311",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951124330",
            "telephone_number": "408-712-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 E BROKAW RD STE 50",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951312318",
            "telephone_number": "408-573-7388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2107 N 1st St Ste 131",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951312026",
            "country_code": "US",
            "telephone_number": "408-453-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN-BRINGAS",
        "first_name": "EVELYN",
        "middle_name": "HIEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33933TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HIEN",
            "last_name": "NGUYEN",
            "middle_name": "ANH",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.