Individual provider Active NPI

Mindy Nguyen, OD

  • Optometrist
  • Garden Grove, CA
National Provider Identifier
1366739617
Registry record updated Jul 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14165TLG Issued in CA
Practice address
12966 Main St
Garden Grove, CA 92840-5115
Phone
(714) 530-5720
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14165TLG CA Primary

Addresses

Primary practice location

12966 Main St
Garden Grove, CA 92840-5115

Mailing address

450 N Bedford Dr
Ste 101
Beverly Hills, CA 90210-4305
Phone (714) 548-5483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20200224002601 NV Practitioner - Optometry 2466612866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Girisgen and Kopolow OD PCGroup PAC ID 6507993854, 31 clinicians

Practice addresses (Care Compare)

2021 N Rainbow Blvd
Suite 100
Las Vegas, NV 89108-7098
Phone (702) 452-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Feb 1, 2020 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist CurrentSince Feb 1, 2020 Accepting new patients
Kopolow & Girisgen Professional Corporation Optometrist CurrentSince Feb 1, 2020 Accepting new patients
Girisgen & Kopolow OD, PC Optometrist Current Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients
Dignity Health Past Accepting new patients
Dawn M. Miller,O.D. Optometrist Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
Kopolow & Girisgen Professional Corporation Optometrist Past Accepting new patients
Dignity Health Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
De Craig Ranch, LLC Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Henderson Hospital Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Dignity Health Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Desert View Regional Medical Center Holdings, LLC Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients

Locations

1000 N Green Valley Pkwy
Ste 420
Henderson, NV 89074
Phone (725) 502-2802

1381 W Sunset Rd
Ste 120
Henderson, NV 89014

75 S Valle Verde Dr
Ste 120
Henderson, NV 89012

230 N Nellis Blvd
Ste B
Las Vegas, NV 89110
Phone (702) 360-8070

9770 S Maryland Pkwy
Ste 10
Las Vegas, NV 89183
Phone (702) 492-0719

7090 S Rainbow Blvd
#100
Las Vegas, NV 89118

8025 S Rainbow Blvd
Ste 104
Las Vegas, NV 89139
Phone (702) 418-3118

3805 E Flamingo Rd
Ste 110
Las Vegas, NV 89121

8145 W Sahara Ave
Ste 510
Las Vegas, NV 89117
Phone (702) 360-0106

7361 W Lake Mead Blvd
Ste 104
Las Vegas, NV 89128
Phone (702) 341-7254

2021 N Rainbow Blvd
Ste 100
Las Vegas, NV 89108
Phone (702) 515-0200

9460 W Flamingo Rd
Ste 100
Las Vegas, NV 89147

4045 Spencer St
Ste A59
Las Vegas, NV 89119
Phone (702) 437-5521

6160 W Tropicana Ave
Ste E4
Las Vegas, NV 89103

2279 N Rampart Blvd
Las Vegas, NV 89128
Phone (702) 341-0118

1820 E Lake Mead Blvd
Ste A-1
North Las Vegas, NV 89030
Phone (702) 891-9729

5465 Meadowood Mall Cir
Reno, NV 89502
Phone (775) 826-4100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4

Organizations & group practices 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1366739617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N BEDFORD DR",
            "address_2": "STE 101",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104305",
            "telephone_number": "714-548-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12966 MAIN ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928405115",
            "telephone_number": "714-530-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MINDY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14165TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.