Myopia Care Optometric PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MYOPIA CARE OPTOMETRIC PC

Practice address

10715 Tierrasanta Blvd Ste F
San Diego, CA 92124-2610

Phone

(858) 279-6500

Fax

(858) 225-7174

NPI assigned

Nov 29, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Bruce C Nguyen, ODNPI 1376839019

Title

Owner Doctor

Phone

(858) 279-6500

Specialties & licenses 1

Addresses

Other names 1

• CLAIREMONT OPTOMETRY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce Chau Nguyen, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1376839019
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1124894217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10715 TIERRASANTA BLVD STE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242610",
            "telephone_number": "858-279-6500",
            "fax_number": "858-225-7174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10715 TIERRASANTA BLVD STE F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242610",
            "telephone_number": "858-279-6500",
            "fax_number": "858-225-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYOPIA CARE OPTOMETRIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "858-279-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLAIREMONT OPTOMETRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.