Jasmine Phuong Nguyen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11189 TPA Issued in CA

Practice address

4029 43Rd Street
Suite 300
San Diego, CA 92105-8537

Phone

(619) 284-3937

Fax

(619) 284-3938

NPI assigned

Feb 9, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Jasmine P. Nguyen, O.D., Inc.

  dba Focus Optometry

  • Health Service Clinic/Center
  • San Diego, CA
  • NPI 1558661942
  Medicare reassignment NPD Authorized official
• Eyesmith, a Professional Optometry Corporation

  • Optometrist
  • San Diego, CA
  • NPI 1649020702
  NPD (past)

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1497896922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 43RD STREET",
            "address_2": "SUITE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921058537",
            "telephone_number": "619-284-3937",
            "fax_number": "619-284-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 43RD STREET",
            "address_2": "SUITE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921058537",
            "telephone_number": "619-284-3937",
            "fax_number": "619-284-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JASMINE",
        "middle_name": "PHUONG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11189 TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0111890",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Huy-Khoa Nguyen
• Ivy Ngoc Nguyen
• Jacquelynn Nguyen
• Janice Mai Nguyen, MD
• Jasmine Nguyen
• Jayde Nguyen
• Jennarose Nguyen, M.S.,CCC-SLP
• Jennie Nguyen, OTR
• Jennifer K Nguyen, PA-C
• Jennifer Thanh Nguyen

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.

Verify at the official NPI Registry.