Organization Active NPI

Ann VI Nguyen, OD, Inc.

  • Optometrist
  • Tustin, CA
National Provider Identifier
1508227406
Registry record updated Mar 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12227 Issued in CA
Legal business name
ANN VI NGUYEN, OD, INC.
Practice address
2655 El Camino Real
Tustin, CA 92782-8918
Phone
(714) 592-3222
NPI assigned
Mar 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2016

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

Authorized official

Name
Dr. Ann VI Nguyen, OD
Title
President
Phone
(714) 305-0063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12227 CA Primary

Addresses

Primary practice location

2655 El Camino Real
Tustin, CA 92782-8918

Mailing address

339 Gulf Stream Way
Costa Mesa, CA 92627-2291
Phone (714) 305-0063

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458345600000",
    "number": "1508227406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 GULF STREAM WAY",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272291",
            "telephone_number": "714-305-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 EL CAMINO REAL",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927828918",
            "telephone_number": "714-592-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN VI NGUYEN, OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-19",
        "last_updated": "2016-03-19",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "VI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-305-0063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.