Individual provider Active NPI

Linda Thi Nguyen, O.D.

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1164654349
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13836 Issued in CA
Practice address
500 Sutter St
Ste 508
San Francisco, CA 94102-1114
Phone
(415) 543-2020
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13836 CA Primary

Addresses

Primary practice location

500 Sutter St
Ste 508
San Francisco, CA 94102-1114

Mailing address

3814 Moraga St
San Francisco, CA 94122-3902
Phone (415) 860-2345

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
I20100215000443 CA Practitioner - Optometry 6901940931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

500 Sutter St
Suite 508
San Francisco, CA 94102-1114
Phone (415) 543-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13836CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Vision Optometry PC Optometrist CurrentSince Sep 12, 2021 Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

500 Sutter St
Ste 508
San Francisco, CA 94102
Phone (415) 362-7707

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1164654349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 MORAGA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941223902",
            "telephone_number": "415-860-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUTTER ST",
            "address_2": "STE 508",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021114",
            "telephone_number": "415-543-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LINDA",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.