Eye Smart Optometry Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

13115 Issued in CA

Legal business name

EYE SMART OPTOMETRY INC

Practice address

9200 Bolsa Ave
#119A
Westminster, CA 92683-5500

Phone

(714) 786-8468

Fax

(714) 786-8467

NPI assigned

Nov 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Andrian Leon Nguyen, O.D.NPI 1497808208

Title

Owner

Phone

(714) 786-8468

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.

• Andrian L Nguyen, O.D.

  • Optometrist
  • Westminster, CA
  • NPI 1497808208
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379030400000",
    "number": "1508100389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 BOLSA AVE",
            "address_2": "#119A",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835500",
            "telephone_number": "714-786-8468",
            "fax_number": "714-786-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 BOLSA AVE",
            "address_2": "#119A",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926835500",
            "telephone_number": "714-786-8468",
            "fax_number": "714-786-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SMART OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2013-09-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANDRIAN",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-786-8468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Choice Aco Inc
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• Family Choice Medical Group

• Optometrist in Westminster, CA
• Providers in Westminster, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2013; 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.