Individual provider Active NPI

Nhi Nguyen, OD

  • Optometrist
  • Irvine, CA
National Provider Identifier
1497597520
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT35703TLG Issued in CA
Practice address
4940 Irvine Blvd Ste 102
Irvine, CA 92620-1960
Phone
(714) 730-9580
NPI assigned
Jun 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT35703TLG CA Primary

Addresses

Primary practice location

4940 Irvine Blvd Ste 102
Irvine, CA 92620-1960

Mailing address

9350 Bolsa Ave SPC 22
Westminster, CA 92683-5929

Other practice location 1

3151 Airway Ave Ste M3
Costa Mesa, CA 92626-4626
Phone (714) 486-3315

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
I20240717001006 CA Practitioner - Optometry 2567907363 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lui and Mai Optometry PartnershipGroup PAC ID 5496192775, 3 clinicians

Practice addresses (Care Compare)

4940 Irvine Blvd
Suite 102
Irvine, CA 92620-1960
Phone (714) 730-9580

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT35703TLGCAMDOptometrist
35703CAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Lui & Mai Optometry Partnership Optometrist CurrentSince Jul 2, 2024 Accepting new patients
Jimmy K. Lee, M.D. Inc. Past Accepting new patients
Mai and Lam Optometric Corporation Optometrist Past Accepting new patients

Locations

4940 Irvine Blvd
Ste 102
Irvine, CA 92620
Phone (714) 730-9580

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1497597520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 BOLSA AVE SPC 22",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 IRVINE BLVD STE 102",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201960",
            "telephone_number": "714-730-9580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3151 Airway Ave Ste M3",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926264626",
            "country_code": "US",
            "telephone_number": "714-486-3315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NHI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35703TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.