Individual provider Active NPI

Nghi Uyen Duong, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1285832501
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12803 Issued in CA
Practice address
5330 Carroll Canyon Rd Ste 210
San Diego, CA 92121-3758
Phone
(858) 450-1010
Fax
(858) 450-9451
NPI assigned
Jul 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 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 12803 CA Primary

Addresses

Primary practice location

5330 Carroll Canyon Rd Ste 210
San Diego, CA 92121-3758

Mailing address

635B S Rancho Santa Fe Rd
San Marcos, CA 92078-3973
Phone (760) 744-0767

Other practice location 1

635B S Rancho Santa Fe Rd
San Marcos, CA 92078-3973
Phone (760) 744-0767

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
I20120411000302 CA Practitioner - Optometry 5890956254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3939 3Rd Ave
San Diego, CA 92103-3002
Phone (800) 765-2737

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
76.08
Promoting interoperability
72
Improvement activities
40
Cost
75.13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12803CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Eye Institute a Medical Group Inc CurrentSince Jun 24, 2024 Accepting new patients
Pacific Eye Institute, a Medical Group, Inc. CurrentSince Jun 24, 2024 Accepting new patients

Locations

15099 Kamana Rd
Apple Valley, CA 92307

700 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 738-7830

9834 Genesee Ave
Ste 200
La Jolla, CA 92037
Phone (858) 457-3050

5330 Carroll Canyon Rd
Ste 210
San Diego, CA 92121
Phone (800) 765-2737

3939 3rd Ave
San Diego, CA 92103
Phone (619) 296-8525

41877 Enterprise Cir N
Ste 110
Temecula, CA 92590
Phone (951) 296-2244

555 N 13th Ave
Upland, CA 91786
Phone (909) 982-8846

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nduong@pacificeyelaser.intellechartdirect.net

Organizations & group practices 2

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": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1285832501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635B S RANCHO SANTA FE RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920783973",
            "telephone_number": "760-744-0767",
            "fax_number": "760-744-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 CARROLL CANYON RD STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213758",
            "telephone_number": "858-450-1010",
            "fax_number": "858-450-9451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "635B S Rancho Santa Fe Rd",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920783973",
            "country_code": "US",
            "telephone_number": "760-744-0767",
            "fax_number": "760-744-2892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUONG",
        "first_name": "NGHI",
        "middle_name": "UYEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-09",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.