Vivian Thao Nguyen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35905 Issued in CA

Practice address

288 E Live Oak Ave Ste D
Arcadia, CA 91006-5602

Phone

(626) 446-3937

NPI assigned

Feb 14, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Justin Hu, O.D., Incorporated

  • Optometrist
  • South Pasadena, CA
  • NPI 1508148941
  Medicare reassignment NPD

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

{
    "created_epoch": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1336944271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2369 E COLORADO BLVD # 105",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 E LIVE OAK AVE STE D",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065602",
            "telephone_number": "626-446-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1103 Fair Oaks Ave",
            "address_purpose": "LOCATION",
            "city": "South Pasadena",
            "state": "CA",
            "postal_code": "910303311",
            "country_code": "US",
            "telephone_number": "626-441-0770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VIVIAN",
        "middle_name": "THAO",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Duong Nguyen
• Tiffany Diep Nguyen, OD
• Tina Nguyen
• Vicky Hang Nguyen
• Vien Thanh Nguyen, NP
• Vy Nguyen
• Wendy T Nguyen, MSW
• Nickerson Anesthesia & Nursing Inc
• Joseph H. Nickerson IV, CRNA
• Dalin Nie, ACUPUNCTURIST

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.