Santa Ana Optometry, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

13098T Issued in CA

Legal business name

SANTA ANA OPTOMETRY, INC

Practice address

2148 S Bristol St Ste C
Santa Ana, CA 92704-5152

Phone

(714) 662-7969

Fax

(714) 662-7964

NPI assigned

Mar 10, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Thien-Thu Phuc Nguyen, O.D

Title

President/Owner

Phone

(714) 662-7969

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thien T Nguyen, O.D.

  • Optometrist
  • Montebello, CA
  • NPI 1568471373
  Medicare reassignment NPD

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1487977096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2148 S BRISTOL ST STE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045152",
            "telephone_number": "714-662-7969",
            "fax_number": "714-662-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2148 S BRISTOL ST STE C",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927045152",
            "telephone_number": "714-662-7969",
            "fax_number": "714-662-7964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ANA OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THIEN-THU",
        "authorized_official_middle_name": "PHUC",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "714-662-7969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13098T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santa Ana Family Optometry
• Santa Ana Family Optometry
• Santa Ana Family Optometry
• Santa Ana Health Clinic, LLC
• Santa Ana Healthcare & Wellness Centre, LP
• Santa Ana Outpatient Surgery Center L P
• Santa Ana Pharmacy Health Center
• Santa Ana Prohealth Medical Clinic Inc
• Santa Ana Tustin Radiology Medical Group
• Santa Ana Unified School District

• Optometrist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.