Kim Anh Nguyen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9324T Issued in CA

Practice address

15622 Brookhurst St
Westminster, CA 92683-7573

Phone

(714) 657-3124

Fax

(714) 775-4518

NPI assigned

Jun 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Southern California College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 2020 Vision Optometry, Inc.

  • Optometrist
  • Westminster, CA
  • NPI 1932234549
  Medicare reassignment NPD Authorized official
• Brittany to, OD, Apc

  • Corneal and Contact Management Optometrist
  • Westminster, CA
  • NPI 1235376443
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1457557472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15622 BROOKHURST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837573",
            "telephone_number": "714-657-3124",
            "fax_number": "714-775-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15622 BROOKHURST ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926837573",
            "telephone_number": "714-657-3124",
            "fax_number": "714-775-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KIM ANH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9324T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0093242",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalvin Nguyen, D.D.S.
• Katie Nguyen, LVN
• Kenneth Nguyen, RPH
• Khiem Van Nguyen, D.C
• Khiet Van Nguyen, DDS
• Kim Hau Nguyen
• Kim Thien Nguyen, DDS
• Kimberly Nguyen, RN, PHN
• Ky Ngoc Nguyen, MD
• Kyle Viet Nguyen

• Optometrist in Westminster, CA
• Providers in Westminster, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.