Individual provider Active NPI

Elizabeth Ngoc Ha Agbuya, O.D.

  • Optometrist
  • Napa, CA
National Provider Identifier
1104350651
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33695 Issued in CA
Practice address
2100 Napa Vallejo Hwy
Napa, CA 94558-6234
Phone
(707) 253-5000
NPI assigned
Apr 11, 2017
Last updated
May 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2161 AZ
Optometrist 152W00000X 33695 CA Primary

Addresses

Primary practice location

2100 Napa Vallejo Hwy
Napa, CA 94558-6234

Mailing address

3114 N Applegate Ave
Fresno, CA 93737-9234
Phone (707) 253-5000

Other practice location 1

1360 E Herndon Ave Ste 301
Fresno, CA 93720-3326
Phone (559) 486-5000

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
I20170729000017 CA Practitioner - Optometry 9638440365 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Department of State HospitalsGroup PAC ID 9638174238, 275 clinicians

Practice addresses (Care Compare)

2100 Napa Vallejo Hwy
Napa, CA 94558-6234
Phone (916) 651-8811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2161AZMDOptometrist
33695CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Department of State Hospitals Single Specialty Current Accepting new patients
Department of State Hospitals Single Specialty CurrentSince Apr 5, 2025 Accepting new patients
Department of State Hospitals Single Specialty CurrentSince Apr 5, 2025 Accepting new patients
Regents of the University of California Single Specialty CurrentSince Jul 1, 2017 Accepting new patients
Vantage Eye Center a Medical Corp Single Specialty CurrentSince Apr 11, 2022 Accepting new patients
Regents of the University of California Optometrist CurrentSince Jul 1, 2017 Accepting new patients

Locations

9415 Campus Point Dr
La Jolla, CA 92093
Phone (619) 543-3000

File 57326
Los Angeles, CA 90074

2 Upper Ragsdale Dr
Ste B130
Monterey, CA 93940
Phone (831) 647-3900

2100 Napa Vallejo Hwy
Napa, CA 94558
Phone (707) 253-5000

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

622 Abbott St
Salinas, CA 93901
Phone (831) 771-3900

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

Interoperability endpoints

  • Direct secure messaging: elizabeth.luuod.p1@direct.californiaeye.nextgenshare.com

Organizations & group practices 6

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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1104350651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 N APPLEGATE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937379234",
            "telephone_number": "707-253-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NAPA VALLEJO HWY",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586234",
            "telephone_number": "707-253-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1360 E Herndon Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203326",
            "country_code": "US",
            "telephone_number": "559-486-5000",
            "fax_number": "559-878-3006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGBUYA",
        "first_name": "ELIZABETH",
        "middle_name": "NGOC HA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2161",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.