Judy Nguyen, OD, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14043TLG Issued in CA

Legal business name

JUDY NGUYEN, OD, INC.

Practice address

6247 Jarvis Ave
Newark, CA 94560-1212

Phone

(510) 494-8880

Fax

(510) 494-8882

NPI assigned

Mar 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Judy T. Nguyen, ODNPI 1760796908

Title

President

Phone

(510) 494-8880

Specialties & licenses 1

Addresses

Other names 1

• Bella Eye Care Optometry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Bella Eye Care Optometry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Judy Nguyen, OD, Inc.

  • Optometrist
  • Saratoga, CA
  • NPI 1083440721
  NPD tax ID

Locations

Practitioners 6

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

• Judy Nguyen, O.D.

  • Optometrist
  • Newark, CA
  • NPI 1760796908
  Medicare reassignment Care Compare group NPD Authorized official
• Alison Kyaw, OD

  • Optometrist
  • Newark, CA
  • NPI 1558981092
  Medicare reassignment Care Compare group
• Maranda Heather Decierdo, O.D.

  • Optometrist
  • Newark, CA
  • NPI 1962244582
  Medicare reassignment NPD
• Patricia Nguyen Hom, O.D.

  • Optometrist
  • San Jose, CA
  • NPI 1578656153
  NPD (past)
• Anh Thu Nguyen, OD

  • Optometrist
  • Travis Afb, CA
  • NPI 1770819070
  NPD (past)
• Alpadevi Shroff, O.D.

  • Optometrist
  • San Jose, CA
  • NPI 1265513311
  NPD (past)

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1316330780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6247 JARVIS AVE",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945601212",
            "telephone_number": "510-494-8880",
            "fax_number": "510-494-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6247 JARVIS AVE",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945601212",
            "telephone_number": "510-494-8880",
            "fax_number": "510-494-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDY NGUYEN, OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-494-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14043TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Eye Care Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald Johnson
• Rian Cloe Johnston-Rand
• Jason Jones
• Kenneth R. Jones
• Talise Yasmin Jovel
• Judy T. Nguyen, OD
• Charissa Mamie Jung
• Fatima Justiniano, D.D.S.
• K.D. Speech Pathology & Developmental Services, Inc.
• Hiba Kaleem

• Optometrist in Newark, CA
• Providers in Newark, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.