Individual provider Active NPI

VI Nguyen, OD

  • Optometrist
  • Palm Desert, CA
National Provider Identifier
1164875571
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33407 Issued in CA
Practice address
72840 Highway 111 Ste P315
Palm Desert, CA 92260
Phone
(408) 334-6027
NPI assigned
Jul 20, 2016
Last updated
Jul 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33407-TLG CA
Optometrist 152W00000X 33407 CA Primary

Addresses

Primary practice location

72840 Highway 111 Ste P315
Palm Desert, CA 92260

Mailing address

83165 Shadow Hills Way
Indio, CA 92203
Phone (408) 334-6027

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
I20161021001166 CA Practitioner - Optometry 5799063970 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iseeu OptometryGroup PAC ID 3577809698, 3 clinicians
Azul Vision IncGroup PAC ID 2264851740, 49 clinicians

Practice addresses (Care Compare)

72840 Hwy 111
F201
Palm Desert, CA 92260-3324
Phone (760) 341-6324

81767 Doctor Carreon Blvd
Suite 101
Indio, CA 92201-5598
Phone (760) 396-3600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33407-TLGCAMDOptometrist
33407CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
First Desert Obstetrics & Gynecology Medical Associates, Inc. CurrentSince Jan 6, 2025 Accepting new patients
Azul Vision Inc. Optometrist CurrentSince Jan 6, 2025 Accepting new patients
California Eye Specialists Medical Group, Inc Current Accepting new patients
Iseeu Optometry Optometrist CurrentSince Oct 16, 2018 Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Luxottica of America Inc Past Accepting new patients
Eyecare Specialists Medical Group, Inc. Optometrist Past Accepting new patients

Locations

14726 Ramona Ave
Ste 203
Chino, CA 91710
Phone (626) 305-9100

7677 Center Ave
Ste 301
Huntington Beach, CA 92647
Phone (714) 901-2004

44100 Jefferson St
Ste E507
Indio, CA 92201
Phone (760) 360-1000

81767 Doctor Carreon Blvd
Ste 101
Indio, CA 92201
Phone (760) 342-5268

2600 Redondo Ave
Ste 203
Long Beach, CA 90806
Phone (562) 496-3600

72840 Highway 111
#F201
Palm Desert, CA 92260
Phone (760) 341-6324

399 E Highland Ave
Ste 401
Sn Bernrdno, CA 92404
Phone (909) 327-3118

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: vi.nguyen.d2.p1@direct.atlantiseyecare.nextgenshare.com
  • Direct secure messaging: vi.nguyen.p1@direct.atlantiseyecare.nextgenshare.com
  • Direct secure messaging: vnguyen@californiaeye.intellechartdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1164875571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83165 SHADOW HILLS WAY",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "92203",
            "telephone_number": "408-334-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72840 HIGHWAY 111 STE P315",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "92260",
            "telephone_number": "408-334-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-20",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33407-TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

Verify at the official NPI Registry.