Individual provider Active NPI

Hieu Doan, O.D.

  • Optometrist
  • Highland, CA
National Provider Identifier
1306132063
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14158 Issued in CA
Practice address
4210 Highland Ave
Highland, CA 92346-2742
Phone
(909) 425-2407
Fax
(909) 663-9074
NPI assigned
Jun 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14158 CA Primary

Addresses

Primary practice location

4210 Highland Ave
Highland, CA 92346-2742

Mailing address

4210 Highland Ave
Highland, CA 92346-2742
Phone (909) 425-2407

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
I20111026000358 CA Practitioner - Optometry 3971776543 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14158CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Hieu Doan Optometry Inc Optometrist Current Accepting new patients
Ngoc H. Tran, O.D., Inc. Optometrist CurrentSince Dec 1, 2018 Accepting new patients

Locations

4210 Highland Ave
Highland, CA 92346
Phone (909) 425-8687

8942 Tampa Ave
Northridge, CA 91324
Phone (818) 993-1606

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1306132063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 HIGHLAND AVE",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923462742",
            "telephone_number": "909-425-2407",
            "fax_number": "909-663-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 HIGHLAND AVE",
            "city": "HIGHLAND",
            "state": "CA",
            "postal_code": "923462742",
            "telephone_number": "909-425-2407",
            "fax_number": "909-663-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "HIEU",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, CA

Sources for this page

Verify at the official NPI Registry.