Individual provider Active NPI

Bruce Chau Nguyen, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1376839019
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14156 Issued in CA
Practice address
9353 Clairemont Mesa Blvd
Ste K2
San Diego, CA 92123-1220
Phone
(858) 279-6500
Fax
(858) 225-7174
NPI assigned
Jun 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 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 14156 CA Primary

Addresses

Primary practice location

9353 Clairemont Mesa Blvd
Ste K2
San Diego, CA 92123-1220

Mailing address

9353 Clairemont Mesa Blvd
Ste K2
San Diego, CA 92123-1220
Phone (714) 530-4167

Other names 1

  • Chau Minh Nguyen Former name

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
I20111024000531 CA Practitioner - Optometry 5294908059 Reassigns benefits to 2 organizations
Practice locations: San Diego, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Valley Optometric Corporation Optometrist CurrentSince Mar 1, 2021 Accepting new patients
Myopia Care Optometric PC Optometrist CurrentSince Aug 26, 2025 Accepting new patients
Total Vision PC Optometrist PastSince Mar 1, 2021 Accepting new patients

Locations

3451 S Dogwood Rd
Ste 1334
El Centro, CA 92243
Phone (760) 336-3003

10715 Tierrasanta Blvd
Ste F
San Diego, CA 92124
Phone (858) 279-6500

Organizations & group practices 3

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": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1376839019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9353 CLAIREMONT MESA BLVD",
            "address_2": "STE K2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231220",
            "telephone_number": "714-530-4167",
            "fax_number": "714-530-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9353 CLAIREMONT MESA BLVD",
            "address_2": "STE K2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231220",
            "telephone_number": "858-279-6500",
            "fax_number": "858-225-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BRUCE",
        "middle_name": "CHAU",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-21",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAU",
            "last_name": "NGUYEN",
            "middle_name": "MINH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.