Christina Nguyen Yang

Primary specialty

OptometristTaxonomy code 152W00000X

License

046011411 Issued in IL

Practice address

1851 Bunker Lake Blvd NW
Andover, MN 55304-4010

Phone

(763) 354-5717

NPI assigned

May 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Christina Kathy Nguyen Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Gregory Clark, O.D., Inc.Group PAC ID 5799880142, 3 clinicians

Brokea Inc.Group PAC ID 9537328075, 8 clinicians

Hadden Eyecare AssociatesGroup PAC ID 5597829630, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cnguyen@russelleyecarestjospephmn.compulinkdirect.com

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.

• Brokea Inc.

  dba Pearle Vision

  • Optometrist
  • Maple Grove, MN
  • NPI 1346453735
  Medicare reassignment Care Compare group NPD
• Gregory Clark, O.D., Inc.

  • Optometrist
  • Coon Rapids, MN
  • NPI 1801965504
  Medicare reassignment Care Compare group NPD
• Hadden Eyecare Associates

  • Optometrist
  • Bloomington, MN
  • NPI 1992991426
  Medicare reassignment Care Compare group NPD
• DJ-MN Inc

  dba Select Eyecare

  • Optician
  • Anoka, MN
  • NPI 1205988805
  Medicare reassignment NPD
• DJ-MN Inc

  dba Select Eyecare

  • Optician
  • Monticello, MN
  • NPI 1124179049
  NPD
• DJ-MN Inc

  dba Select Eyecare

  • Optician
  • Coon Rapids, MN
  • NPI 1578615019
  NPD
• Dinkytown Optical

  • Eyewear Supplier
  • Minneapolis, MN
  • NPI 1003961327
  NPD (past)

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1407478969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1851 BUNKER LAKE BLVD NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553044010",
            "telephone_number": "763-354-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 BUNKER LAKE BLVD NW",
            "city": "ANDOVER",
            "state": "MN",
            "postal_code": "553044010",
            "telephone_number": "763-354-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "CHRISTINA",
        "middle_name": "NGUYEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-07",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "NGUYEN",
            "middle_name": "KATHY",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberley Wobschall, MA, LMFT
• Benjamin J Wolf, LICSW
• Olivia McKay Wolff-Herda, MA
• Michelle Wong
• Crystal Ann Marie Yaekel, COTA
• Alicia M Yantes, O.D.
• Kimberly Dawn Yung Pfuhl, APRN, CNP
• Ashley Marie Zech, MS, LPCC
• Islam Zineldin, MD
• Jennifer Marie Zwiefelhofer, CNP

• Optometrist in Andover, MN
• Providers in Andover, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.