Active NPI
Jenny Au Nguyen
- Optometrist
- Waipahu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD-987
- Practice address
- 94-050 Farrington Hwy Ste B1-1
Waipahu, HI 96797-1800 - Phone
- (808) 677-1544
- Fax
- (808) 671-3538
- NPI assigned
- May 23, 2022
- Sex
- Female
- Sole proprietor
- No
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 | OD-987 | HI | Primary |
Addresses
Primary practice location
94-050 Farrington Hwy Ste B1-1
Waipahu, HI 96797-1800
Mailing address
94-050 Farrington Hwy Ste B1-1
Waipahu, HI 96797-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- 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
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
94-050 Farrington Hwy
Suite B1 1
Waipahu, HI 96797-1800
Phone (808) 677-1544
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD-987 | HI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmology Consultants of Oahu, a Professional Corporation | Optometrist | Current | Accepting new patients |
| Vision Care Center of Hawaii LLC | Optometrist | Current | Accepting new patients |
| Ophthalmology Consultants of Oahu LLC | Current | Accepting new patients | |
| Roger Christian Ede, O.D., Inc. | Optometrist | Past | Accepting new patients |
Locations
6600 Kalanianaole Hwy
Ste 114C
Honolulu, HI 96825
Phone (808) 373-9373
94-050 Farrington Hwy
Ste B1-1
Waipahu, HI 96797
Phone (808) 677-1544
94-050 Farrington Hwy
Ste B11
Waipahu, HI 96797
Phone (808) 677-1544
Organizations & group practices 5
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.
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Optometrist
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1255079166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-050 FARRINGTON HWY STE B1-1",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967971800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-050 FARRINGTON HWY STE B1-1",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967971800",
"telephone_number": "808-677-1544",
"fax_number": "808-671-3538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JENNY",
"middle_name": "AU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-23",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "HI",
"license": "OD-987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.