Active NPI
Long Thanh Nguyen, O.D.
- Optometrist
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 15430
- Practice address
- 2201 W Olive Ave
Burbank, CA 91506-2625 - Phone
- (818) 845-3783
- Fax
- (818) 845-1065
- NPI assigned
- Oct 5, 2015
- Last updated
- Jul 22, 2020
- Sex
- Male
- 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 | 15430 | CA | Primary |
Addresses
Primary practice location
2201 W Olive Ave
Burbank, CA 91506-2625
Mailing address
2201 W Olive Ave
Burbank, CA 91506-2625
Phone (818) 845-3783
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2201 W Olive Ave
Burbank, CA 91506-2625
Phone (818) 845-3783
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCarthy Optometric Group a Professional Corporation | Optometrist | Current | Accepting new patients |
| M. Trinh Optometry Inc | Optometrist | Current | Accepting new patients |
| Eyecon Optometry Partnership | Optometrist | Current | Accepting new patients |
| New Vision Optometry, Inc. | Optometrist | Current | Accepting new patients |
| Laura K. Ha, O.D. Optometry a Professional Corporation | Optometrist | Current | Accepting new patients |
| Ronald L. Goldstein, O.D. | Optometrist | Past | Accepting new patients |
Locations
2201 W Olive Ave
Burbank, CA 91506
Phone (818) 845-3783
99 E Daily Dr
Camarillo, CA 93010
Phone (805) 482-8849
7217 Reseda Blvd
Reseda, CA 91335
Phone (818) 345-2010
277 Hampshire Rd
Westlake Village, CA 91361
Phone (805) 495-4625
Organizations & group practices 6
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.
-
- Optometrist
- Burbank, CA
- NPI 1497219935
-
dba Eyecon Optometry
- Corneal and Contact Management Optometrist
- Reseda, CA
- NPI 1588940647
-
- Corneal and Contact Management Optometrist
- Camarillo, CA
- NPI 1013632009
-
- Optometrist
- Thousand Oaks, CA
- NPI 1255525192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1174993091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2201 W OLIVE AVE",
"city": "BURBANK",
"state": "CA",
"postal_code": "915062625",
"telephone_number": "818-845-3783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 W OLIVE AVE",
"city": "BURBANK",
"state": "CA",
"postal_code": "915062625",
"telephone_number": "818-845-3783",
"fax_number": "818-845-1065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LONG",
"middle_name": "THANH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-05",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "15430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.