Active NPI
Kelly N Nguyen, O.D.
- Optometrist
- Milpitas, CA
National Provider Identifier
1336657238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT33857-TLG
- Practice address
- 532 Barber LN
Milpitas, CA 95035-7921 - Phone
- (408) 597-1000
- NPI assigned
- Jan 14, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT33857-TLG | CA | Primary |
Addresses
Primary practice location
532 Barber LN
Milpitas, CA 95035-7921
Mailing address
532 Barber LN
Milpitas, CA 95035-7921
Phone (408) 597-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT33857-TLG | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision First Eye Care | Optometrist | Past | Accepting new patients |
| James N. Eustermann, M.D., Inc. | Past | Accepting new patients |
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.
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- Optometrist
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- NPI 1497965305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558569600000",
"number": "1336657238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 BARBER LN",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950357921",
"telephone_number": "408-597-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 BARBER LN",
"city": "MILPITAS",
"state": "CA",
"postal_code": "950357921",
"telephone_number": "408-597-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KELLY",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-14",
"last_updated": "2019-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT33857-TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milpitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.