Active NPI
Teresa Nguyen, OD
- Optometrist
- Fremont, CA
National Provider Identifier
1497237051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 34085TLG
- Practice address
- 43810 Christy St
Fremont, CA 94538-3280 - Phone
- (510) 897-3612
- NPI assigned
- Aug 30, 2018
- Last updated
- May 30, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 34085TLG | CA | Primary |
Addresses
Primary practice location
43810 Christy St
Fremont, CA 94538-3280
Mailing address
43810 Christy St
Fremont, CA 94538-3280
Other practice location 1
432 N Capitol Ave
San Jose, CA 95133-1938
Phone (408) 964-4128
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34085TLG | CA | MD | Optometrist |
| 34085 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doris H Wong Optometric Corporation | Optometrist | Current | Accepting new patients |
| National Vision, Inc | Past | Accepting new patients | |
| National Vision Inc | Optometrist | Past | Accepting new patients |
Locations
175 Market Pl
San Ramon, CA 94583
Phone (925) 275-0202
Organizations & group practices 3
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.
-
- Optometrist
- Pleasanton, CA
- NPI 1457773822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590796800000",
"number": "1497237051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43810 CHRISTY ST",
"city": "FREMONT",
"state": "CA",
"postal_code": "945383280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43810 CHRISTY ST",
"city": "FREMONT",
"state": "CA",
"postal_code": "945383280",
"telephone_number": "510-897-3612"
}
],
"practiceLocations": [
{
"address_1": "432 N Capitol Ave",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951331938",
"country_code": "US",
"telephone_number": "408-964-4128",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "TERESA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-30",
"last_updated": "2020-05-30",
"certification_date": "2020-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "34085TLG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.