Individual provider Active NPI

My Linh Ton-Nu, OD

  • Optometrist
  • Costa Mesa, CA
National Provider Identifier
1245733476
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT34990TLG Issued in CA
Practice address
1640 Newport Blvd Ste 220
Costa Mesa, CA 92627-3786
Phone
(714) 951-3297
NPI assigned
Mar 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011168 IL
Optometrist 152W00000X OPT34990TLG CA Primary

Addresses

Primary practice location

1640 Newport Blvd Ste 220
Costa Mesa, CA 92627-3786

Mailing address

1520 Spring Hill Mall
West Dundee, IL 60118-1266

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
I20211020000987 CA Practitioner - Optometry 4880082130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1640 Newport Blvd
Suite 220
Costa Mesa, CA 92627-3786
Phone (949) 873-5352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT34990TLGCAMDOptometrist
046011168ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Institute of California Medical Group, a California Medical Par Optometrist CurrentSince Feb 1, 2022 Accepting new patients
Luxottica of America Inc Past Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Iexam Optometry, PC Optometrist PastSince Oct 15, 2021 Accepting new patients
Barry a. Katzman, M.D., Inc Apc Optometrist Past Accepting new patients
Trilogy Eye Medical Group, Inc Optometrist Past Accepting new patients
Ahmc San Gabriel Valley Medical Ophthalmology Past Accepting new patients

Locations

500 S Anaheim Hills Rd
Ste 234
Anaheim, CA 92807
Phone (714) 282-5437

9500 Stockdale Hwy
Ste 108
Bakersfield, CA 93311
Phone (661) 663-8500

116 N Plaza St
Brawley, CA 92227
Phone (760) 344-4330

1640 Newport Blvd
Ste 220
Costa Mesa, CA 92627
Phone (949) 650-4362

11525 Brookshire Ave
Downey, CA 90241
Phone (562) 861-0954

1420 Ocotillo Dr
El Centro, CA 92243
Phone (760) 353-1140

1950 Sunny Crest Dr
Ste 3200
Fullerton, CA 92835
Phone (714) 278-1829

44815 Fig Ave
Lancaster, CA 93534
Phone (661) 206-8469

44139 Monterey Ave
Ste A
Palm Desert, CA 92260
Phone (760) 469-5195

100 E California Blvd
Pasadena, CA 91105
Phone (626) 568-8838

160 E Artesia St
Ste 120
Pomona, CA 91767
Phone (909) 629-4051

6906 Brockton Ave
Ste 6
Riverside, CA 92506
Phone (951) 784-8373

1403 N Tustin Ave
#399
Santa Ana, CA 92705

1403 N Tustin Ave
Santa Ana, CA 92705

3440 Lomita Blvd
Ste 100
Torrance, CA 90505
Phone (310) 784-0644

58471 29 Palms Hwy
Ste 203
Yucca Valley, CA 92284
Phone (760) 365-7651

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

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": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1245733476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 SPRING HILL MALL",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601181266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 NEWPORT BLVD STE 220",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273786",
            "telephone_number": "714-951-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TON-NU",
        "first_name": "MY LINH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-14",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011168",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT34990TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.