Individual provider Active NPI

Linda Nguyen

  • Optometrist
  • Covina, CA
National Provider Identifier
1326756362
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35354TLG Issued in CA
Practice address
592 S Grand Ave
Covina, CA 91724-3467
Phone
(626) 331-6448
NPI assigned
Nov 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35354TLG CA Primary

Addresses

Primary practice location

592 S Grand Ave
Covina, CA 91724-3467

Mailing address

592 S Grand Ave
Covina, CA 91724-3467
Phone (626) 331-6448

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
I20230208001261 CA Practitioner - Optometry 6709258312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olave St Clair Optometry IncGroup PAC ID 5395174361, 4 clinicians

Practice addresses (Care Compare)

592 S Grand Ave
Covina, CA 91724-3467
Phone (626) 331-6448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35354TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Olave St. Clair Optometry, Inc. Optometrist CurrentSince Mar 13, 2025 Accepting new patients

Locations

592 S Grand Ave
Covina, CA 91724
Phone (626) 331-6448

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": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1326756362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 S GRAND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243467",
            "telephone_number": "626-331-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592 S GRAND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243467",
            "telephone_number": "626-331-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35354TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.