Active NPI
Tiara Vu-Nguyen, OD
- Optometrist
- Irvine, CA
National Provider Identifier
1174106181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT34862TLG
- Practice address
- 115 Technology Dr
Irvine, CA 92618-2408 - Phone
- (949) 453-8409
- NPI assigned
- Apr 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | OPT34862TLG | CA | Primary |
Addresses
Primary practice location
115 Technology Dr
Irvine, CA 92618-2408
Mailing address
17164 Santa Barbara St
Fountain Valley, CA 92708-3313
Phone (714) 878-0425
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220304000176 | CA | Order and Referring Only - Optometry | 7113311390 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT34862TLG | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1174106181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17164 SANTA BARBARA ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083313",
"telephone_number": "714-878-0425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 TECHNOLOGY DR",
"city": "IRVINE",
"state": "CA",
"postal_code": "926182408",
"telephone_number": "949-453-8409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU-NGUYEN",
"first_name": "TIARA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-28",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "OPT34862TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.