Individual provider Active NPI

Tracey Hongthuy Nguyen, OD

  • Optometrist
  • Kingsburg, CA
National Provider Identifier
1467882480
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14815 Issued in CA
Practice address
1401 Washington St
Kingsburg, CA 93631-1946
Phone
(559) 897-1071
Fax
(559) 897-4317
NPI assigned
Nov 13, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 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 14815 CA Primary

Addresses

Primary practice location

1401 Washington St
Kingsburg, CA 93631-1946

Mailing address

1401 Washington St
Kingsburg, CA 93631-1946
Phone (559) 897-1071

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
I20151223001371 CA Practitioner - Optometry 1951602580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 Washington St
Kingsburg, CA 93631-1932
Phone (559) 897-1071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tracey H Nguyen OD & Yuwen Lee OD Professional Optometric Corporation Optometrist Current Accepting new patients

Locations

715 N Irwin St
Hanford, CA 93230
Phone (559) 584-1630

Organizations & group practices 2

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": "1384300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1467882480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 WASHINGTON ST",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936311946",
            "telephone_number": "559-897-1071",
            "fax_number": "559-897-4317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 WASHINGTON ST",
            "city": "KINGSBURG",
            "state": "CA",
            "postal_code": "936311946",
            "telephone_number": "559-897-1071",
            "fax_number": "559-897-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRACEY",
        "middle_name": "HONGTHUY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-13",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsburg, CA

Sources for this page

Verify at the official NPI Registry.