Individual provider Active NPI

Noy Ngo

  • Optometrist
  • Vacaville, CA
National Provider Identifier
1477949311
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT33458-TLG Issued in CA
Practice address
1500 Helen Power Dr
Vacaville, CA 95687-3506
Phone
(707) 454-9493
Fax
(707) 449-8993
NPI assigned
Apr 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT33458-TLG CA Primary

Addresses

Primary practice location

1500 Helen Power Dr
Vacaville, CA 95687-3506

Mailing address

412 Havenwood CT
Vacaville, CA 95688-9271
Phone (510) 325-9474

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
I20210901003284 CA Practitioner - Optometry 5395149454 Reassigns benefits to 1 organization
Practice locations: Vacaville, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1500 Helen Power Dr
Vacaville, CA 95687-3506
Phone (707) 454-9493

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33458CAMDChiropractor
OPT33458-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Noy Ngo Optometrist CurrentSince Aug 4, 2021 Accepting new patients
Dr Larsen Eye Care Inc Optometrist CurrentSince Jul 21, 2021 Accepting new patients

Locations

461 Skymaster Cir
Travis AFB, CA 94535
Phone (707) 437-2889

1500 Helen Power Dr
Vacaville, CA 95687
Phone (707) 449-0290

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": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1477949311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 HAVENWOOD CT",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956889271",
            "telephone_number": "510-325-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 HELEN POWER DR",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956873506",
            "telephone_number": "707-454-9493",
            "fax_number": "707-449-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "NOY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-07",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33458-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.