Individual provider Active NPI

Sidney Alexandria Nguyen, OD

  • Optometrist
  • Livermore, CA
National Provider Identifier
1285500769
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
36135 Issued in CA
Practice address
2580 Old 1St St
Livermore, CA 94550-2055
Phone
(925) 449-8188
NPI assigned
Oct 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 36135 CA Primary

Addresses

Primary practice location

2580 Old 1St St
Livermore, CA 94550-2055

Mailing address

29925 Sugar Maple CT
Hayward, CA 94544-6676
Phone (650) 888-9210

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
I20251109000197 CA Practitioner - Optometry 2062902893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accuvision Eyecare OptometryGroup PAC ID 4082833702, 3 clinicians

Practice addresses (Care Compare)

2580 Old 1St St
Livermore, CA 94550-2055
Phone (925) 449-8188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Accuvision Eyecare Optometry Optometrist CurrentSince Nov 18, 2025 Accepting new patients

Locations

2580 Old 1st St
Livermore, CA 94550
Phone (925) 449-8188

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": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1285500769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29925 SUGAR MAPLE CT",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945446676",
            "telephone_number": "650-888-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 OLD 1ST ST",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945502055",
            "telephone_number": "925-449-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SIDNEY",
        "middle_name": "ALEXANDRIA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "36135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

Verify at the official NPI Registry.