Organization Active NPI

Linda L Nguyen OD LLC

  • Optometrist
  • Kahului, HI
National Provider Identifier
1427313469
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
633 Issued in HI
Legal business name
LINDA L NGUYEN OD LLC
Practice address
32 Paa St
Kahului, HI 96732-3605
Phone
(808) 877-7828
Fax
(808) 442-9764
NPI assigned
Jul 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Dr. Linda L Nguyen, O.D.NPI 1699772616
Title
Optometrist
Phone
(808) 877-7828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 633 HI Primary

Addresses

Primary practice location

32 Paa St
Kahului, HI 96732-3605

Mailing address

32 Paa St
Kahului, HI 96732-3605
Phone (808) 877-7828

Other names 1

  • Maui Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130201000170 HI Part B Supplier - Clinic/Group Practice 7719131598 Receives reassigned benefits from 2 practitioners
Practice locations: Kahului, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1427313469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 PAA ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323605",
            "telephone_number": "808-877-7828",
            "fax_number": "808-442-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PAA ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323605",
            "telephone_number": "808-877-7828",
            "fax_number": "808-442-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA L NGUYEN OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "808-877-7828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maui Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.