Individual provider Active NPI

Han Nguyen, OD

  • Optometrist
  • Folsom, CA
National Provider Identifier
1265840102
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33366TLG Issued in CA
Practice address
1800 Cavitt Dr
Folsom, CA 95630-6235
Phone
(916) 983-1148
Fax
(916) 983-1192
NPI assigned
Jul 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33366-TLG CA
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 33366TLG CA Primary

Addresses

Primary practice location

1800 Cavitt Dr
Folsom, CA 95630-6235

Mailing address

9629 Ridgerock Dr
Elk Grove, CA 95624-4461
Phone (916) 743-8362

Other identifiers 1

IdentifierTypeStateIssuer
33366TLGOtherCACA STATE BOARD OF OPTOMETRY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33366-TLGCAMDOptometrist
33366TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nguyen Vu Eye Associates, Inc Optometrist Current Accepting new patients

Locations

1800 Cavitt Dr
Folsom, CA 95630
Phone (916) 850-1000

Organizations & group practices 1

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": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1265840102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9629 RIDGEROCK DR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244461",
            "telephone_number": "916-743-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 CAVITT DR",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306235",
            "telephone_number": "916-983-1148",
            "fax_number": "916-983-1192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-23",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33366-TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33366TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE BOARD OF OPTOMETRY",
            "identifier": "33366TLG",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.