Melody Tam Nguyen OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 11086 TPA Issued in CA

Legal business name

MELODY TAM NGUYEN OD INC

Practice address

9191 Bolsa Ave Ste 116
Westminster, CA 92683-5502

Phone

(714) 892-4171

Fax

(714) 891-3886

NPI assigned

Nov 26, 2008

Last updated

Dec 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melody Tam Nguyen, O.D.

Title

President

Phone

(714) 892-4171

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tam Thu Nguyen, O.D.

  • Optometrist
  • Westminster, CA
  • NPI 1346366093
  Medicare reassignment NPD
• Charles Cam Luu, O. D.

  • Optometrist
  • Fullerton, CA
  • NPI 1306831649
  NPD (past)

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545782400000",
    "number": "1174778518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 BOLSA AVE STE 116",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835502",
            "telephone_number": "714-892-4171",
            "fax_number": "714-891-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 BOLSA AVE STE 116",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835502",
            "telephone_number": "714-892-4171",
            "fax_number": "714-891-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELODY TAM NGUYEN OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-26",
        "last_updated": "2018-12-26",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "TAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-892-4171",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 11086 TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CB853A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD 0110861",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medwell Clinic Professional Corporation
• Nader Baharian Mehr, D.D.S
• Masoud Mehraban, M.D.
• Toufan Rodney Mehryan, M.D.
• Hannah Laith Mekhael
• Michael Menard, R. NCS. T.
• Carlos Abraham Mendez Madrigal
• Bianca Adalid Mendez
• Cristina Guadalupe Mendoza
• Kenneth E Merrill

• Optometrist in Westminster, CA
• Providers in Westminster, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.