Tam Thu Nguyen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11086T Issued in CA

Practice address

9191 Bolsa Ave
116
Westminster, CA 92683-5564

Phone

(714) 235-3415

Fax

(909) 987-4956

NPI assigned

Mar 22, 2007

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

Other identifiers 1

Other names 1

• Melody Tam Nguyen Other name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Melody Tam Nguyen OD Inc

  • Optometrist
  • Westminster, CA
  • NPI 1174778518
  Medicare reassignment NPD

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1346366093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12132 CANDOR DR",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907036923",
            "telephone_number": "714-235-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 BOLSA AVE",
            "address_2": "116",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835564",
            "telephone_number": "714-235-3415",
            "fax_number": "909-987-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TAM",
        "middle_name": "THU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11086T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD 0110861",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELODY",
            "last_name": "NGUYEN",
            "middle_name": "TAM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stacey Nguyen
• Stephanie Thuy Nguyen, PHARMD
• Summer Nguyen, PA-C
• Tai Nguyen
• Tai Anh Nguyen, DC
• Tamkhoi Thi Nguyen, D.D.S.
• Tammie Minh Tam Nguyen, PHARM.D.
• Tan Q Nguyen, DDS
• Thai Quang Nguyen, M.D.
• Thanh Huu Nguyen, PHH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.