Individual provider Active NPI

Caroline Nguyen, O.D.

  • Optometrist
  • Santa Barbara, CA
National Provider Identifier
1134557119
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TLG14794 Issued in CA
Practice address
1933 Cliff Dr Ste 29
Santa Barbara, CA 93109-1589
Phone
(805) 682-2618
NPI assigned
Oct 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 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 TLG14794 CA Primary

Addresses

Primary practice location

1933 Cliff Dr Ste 29
Santa Barbara, CA 93109-1589

Mailing address

1933 Cliff Dr Ste 29
Santa Barbara, CA 93109-1589
Phone (805) 682-2618

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
I20140711000754 CA Practitioner - Optometry 8628293412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steven D Zelko MD IncGroup PAC ID 7618290529, 2 clinicians

Practice addresses (Care Compare)

1933 Cliff Dr
Suite 29
Santa Barbara, CA 93109-1589
Phone (805) 682-2618

2030 Viborg Rd
Suite 105
Solvang, CA 93463-3224
Phone (805) 688-6612

Merit-based Incentive Payment System (MIPS)

Final score
89.37 of 100Reported as group
Quality
100
Improvement activities
40
Cost
64.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TLG14794CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Jay Paveloff M D Inc CurrentSince Sep 17, 2023 Accepting new patients
Steven D. Zelko, MD Inc. Optometrist CurrentSince Sep 17, 2015 Accepting new patients

Locations

1933 Cliff Dr
Ste 29
Santa Barbara, CA 93109
Phone (805) 682-2618

309 W Quinto St
Santa Barbara, CA 93105
Phone (805) 563-0041

2030 Viborg Rd
Ste 105
Solvang, CA 93463
Phone (805) 682-2618

Interoperability endpoints

  • Direct secure messaging: cnguyen@sdzmd.intellechartdirect.net

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": "1383004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1134557119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 CLIFF DR STE 29",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931091589",
            "telephone_number": "805-682-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 CLIFF DR STE 29",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931091589",
            "telephone_number": "805-682-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CAROLINE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-29",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "TLG14794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.