Tien Johnny Bao Cao-Nguyen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT34988-TLG Issued in CA

Practice address

477 N El Camino Real Ste C202
Encinitas, CA 92024-1332

Phone

(760) 631-3500

NPI assigned

Jun 14, 2021

Last updated

Mar 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eyecare Solutions IncGroup PAC ID 5193619021, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.31 of 100Reported as group

Quality

93.27

Improvement activities

40

Cost

76.67

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: johnny.caonguyenod.p1@direct.morriseyegroup.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eyecare Solutions Inc

  • Ophthalmology Physician
  • Encinitas, CA
  • NPI 1467519470
  Medicare reassignment Care Compare group NPD
• Eyecare Solutions Inc

  • Ophthalmology Physician
  • Encinitas, CA
  • NPI 1346411022
  NPD

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1477121713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10383 FERN AVE APT B",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906801772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 N EL CAMINO REAL STE C202",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241332",
            "telephone_number": "760-631-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAO-NGUYEN",
        "first_name": "TIEN JOHNNY",
        "middle_name": "BAO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-14",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV009413-01",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT34988-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawna Kimberly Campbell
• Cancer Therapy Specialists Inc (Coastal Edema Care)
• Atilio Andres Canessa, DDS
• Elliot Benson Canter, DC
• Shenika Cantrell, DMD, MBA
• Nikolas George Capetanakis, D.O.
• Valentina Caputo
• Tonia Cardenas
• Kevin Carey
• Ryan Lowry Caringola, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.