Active NPI
Angie Nguyen, OD
- Optometrist
- Rancho Cucamonga, CA
National Provider Identifier
1134949340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 35852
- Practice address
- 10990 Foothill Blvd Ste 120
Rancho Cucamonga, CA 91730-7634 - Phone
- (909) 752-0681
- NPI assigned
- Oct 14, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 35852 | CA | Primary |
Addresses
Primary practice location
10990 Foothill Blvd Ste 120
Rancho Cucamonga, CA 91730-7634
Mailing address
10990 Foothill Blvd Ste 120
Rancho Cucamonga, CA 91730-7634
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35852 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Visionary Retail Management Ca, Inc | Past | Accepting new patients | |
| Visionary Retail Management Ca, Inc | Past | Accepting new patients |
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.
-
dba Visionworks
- Eyewear Supplier
- Rancho Cucamonga, CA
- NPI 1265248322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772064000000",
"number": "1134949340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10990 FOOTHILL BLVD STE 120",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917307634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10990 FOOTHILL BLVD STE 120",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917307634",
"telephone_number": "909-752-0681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "ANGIE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-14",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "35852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.