Organization Active NPI

Duong D Nguyen, Inc

  • Optometrist
  • Riverside, CA
National Provider Identifier
1275808115
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13699TLG Issued in CA
Legal business name
DUONG D NGUYEN, INC
Practice address
5051 Canyon Crest Dr Ste 102
Riverside, CA 92507-6035
Phone
(951) 686-3937
NPI assigned
Mar 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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

Authorized official

Name
Duong Nguyen, O.D.NPI 1841446176
Title
President
Phone
(951) 686-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 13699TLG CA Primary

Addresses

Primary practice location

5051 Canyon Crest Dr Ste 102
Riverside, CA 92507-6035

Mailing address

5051 Canyon Crest Dr Ste 102
Riverside, CA 92507-6035

Other names 1

  • Vision Enhancement Center of Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121219000391 CA Part B Supplier - Clinic/Group Practice 9234381237 Receives reassigned benefits from 1 practitioner
Practice locations: Riverside, CA; Laguna Beach, CA

National Provider Directory

National Provider Directory

Locations

5051 Canyon Crest Dr
Ste 102
Riverside, CA 92507
Phone (832) 878-6082

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362700800000",
    "number": "1275808115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5051 CANYON CREST DR STE 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925076035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 CANYON CREST DR STE 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925076035",
            "telephone_number": "951-686-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUONG D NGUYEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-10",
        "last_updated": "2013-03-08",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DUONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-686-3937",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13699TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Enhancement Center of Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2013; 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.