Individual provider Active NPI

Theresa Boi Ngoc Nguyen, OD

  • Optometrist
  • Merced, CA
National Provider Identifier
1437896180
Registry record updated May 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35123 Issued in CA
Practice address
3178 Collins Dr Ste a
Merced, CA 95348-3155
Phone
(209) 383-1246
NPI assigned
May 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 35123 CA
Optometrist 152W00000X 35123 CA Primary

Addresses

Primary practice location

3178 Collins Dr Ste a
Merced, CA 95348-3155

Mailing address

105 Sproul CT
Merced, CA 95348-8564
Phone (408) 568-6585

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
I20220921003602 CA Practitioner - Optometry 8628453933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Johann J Schlager OD IncGroup PAC ID 4981097482, 3 clinicians

Practice addresses (Care Compare)

3178 Collins Dr
Suite a
Merced, CA 95348-3155
Phone (209) 383-1246

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
Johann J. Schlager, OD Inc. Optometrist CurrentSince Jun 10, 2022 Accepting new patients

Locations

3178 Collins Dr
Ste A
Merced, CA 95348
Phone (209) 383-1246

Organizations & group practices 1

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": "1652572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652572800000",
    "number": "1437896180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SPROUL CT",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953488564",
            "telephone_number": "408-568-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3178 COLLINS DR STE A",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953483155",
            "telephone_number": "209-383-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THERESA",
        "middle_name": "BOI NGOC",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-15",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "35123",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.