Individual provider Active NPI

Kim Nhat Nguyen Le-Huynh, O.D.

  • Optometrist
  • Fountain Valley, CA
National Provider Identifier
1497947311
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13253T Issued in CA
Practice address
10130 Warner Ave Ste J
Fountain Valley, CA 92708-1619
Phone
(714) 965-5130
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 13253T CA Primary

Addresses

Primary practice location

10130 Warner Ave Ste J
Fountain Valley, CA 92708-1619

Mailing address

13792 Howard Cir
Garden Grove, CA 92843-3362
Phone (714) 322-7278

Other practice location 1

843 Newport Center Dr
Newport Fashion Island SPACE #84
Newport Beach, CA 92660-6943
Phone (949) 718-2040

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
I20070926000513 CA Practitioner - Optometry 0941395636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nhat Le-Huynh OD a Professional CorporationGroup PAC ID 4385980218, 3 clinicians

Practice addresses (Care Compare)

10130 Warner Ave
Suite J
Fountain Valley, CA 92708-1619
Phone (714) 965-5130

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13253CAMDProfessional Counselor
13253TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nhat Le-Huynh, O.D., a Professional Corporation Optometrist CurrentSince Nov 1, 2018 Accepting new patients
Luxottica of America Inc Past Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Lenscrafters Optometrist Past Accepting new patients

Locations

10130 Warner Ave
Fountain Valley, CA 92708
Phone (714) 965-5130

10130 Warner Ave
Ste J
Fountain Vly, CA 92708
Phone (714) 965-5130

Organizations & group practices 4

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1497947311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13792 HOWARD CIR",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928433362",
            "telephone_number": "714-322-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 WARNER AVE STE J",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927081619",
            "telephone_number": "714-965-5130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "843 Newport Center Dr",
            "address_2": "Newport Fashion Island SPACE #84",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926606943",
            "country_code": "US",
            "telephone_number": "949-718-2040",
            "fax_number": "949-718-2044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LE-HUYNH",
        "first_name": "KIM NHAT",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13253T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.