Individual provider Active NPI

Uyen Nguyen, OD

  • Optometrist
  • City of Industry, CA
National Provider Identifier
1134680804
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12517 Issued in CA
Practice address
18725 Gale Avenue, Suite 140
City of Industry, CA 91748-1358
Phone
(626) 854-2020
Fax
(626) 854-2021
NPI assigned
Mar 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 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 12517 CA Primary

Addresses

Primary practice location

18725 Gale Avenue, Suite 140
City of Industry, CA 91748-1358

Mailing address

18725 Gale Avenue, Suite 140
City of Industry, CA 91748-1358
Phone (626) 854-2020

Other practice location 1

8341 Westminster Blvd Ste 101
Westminster, CA 92683-8337
Phone (714) 230-8220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12517CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1134680804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18725 GALE AVENUE, SUITE 140",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481358",
            "telephone_number": "626-854-2020",
            "fax_number": "626-854-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18725 GALE AVENUE, SUITE 140",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481358",
            "telephone_number": "626-854-2020",
            "fax_number": "626-854-2021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8341 Westminster Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CA",
            "postal_code": "926838337",
            "country_code": "US",
            "telephone_number": "714-230-8220",
            "fax_number": "714-230-8221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "UYEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.