Individual provider Active NPI

Hiep Nghia Nguyen, RDO

  • Optician
  • Alhambra, CA
National Provider Identifier
1477677920
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
D3757 Issued in CA
Practice address
132 E Valley Blvd
Alhambra, CA 91801-5130
Phone
(626) 282-1069
Fax
(626) 282-7154
NPI assigned
Mar 19, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X D3757 CA Primary

Addresses

Primary practice location

132 E Valley Blvd
Alhambra, CA 91801-5130

Mailing address

132 E Valley Blvd
Alhambra, CA 91801-5130
Phone (626) 282-1069

Other identifiers 3

IdentifierTypeStateIssuer
D3757OtherCAREGISTERED DISPENSING OPT
DX003757FMedicaidCA
OP0197OtherCAEYEMED INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D3757CAMDOptician

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1477677920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E VALLEY BLVD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015130",
            "telephone_number": "626-282-1069",
            "fax_number": "626-282-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E VALLEY BLVD",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918015130",
            "telephone_number": "626-282-1069",
            "fax_number": "626-282-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HIEP",
        "middle_name": "NGHIA",
        "credential": "RDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "CA",
            "license": "D3757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED DISPENSING OPT",
            "identifier": "D3757",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DX003757F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED INSURANCE",
            "identifier": "OP0197",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alhambra, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.