Individual provider Active NPI

Henry Nguyen

  • Optometrist
  • Milpitas, CA
National Provider Identifier
1508604083
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35799 Issued in CA
Practice address
310 Barber CT
Milpitas, CA 95035-7922
Phone
(408) 432-8101
NPI assigned
Jul 18, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 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 35799 CA Primary

Addresses

Primary practice location

310 Barber CT
Milpitas, CA 95035-7922

Mailing address

475 Rainwell Dr
San Jose, CA 95133-1934

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
I20240802002410 CA Practitioner - Optometry 2961949367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Vision PCGroup PAC ID 9234472242, 115 clinicians

Practice addresses (Care Compare)

310 Barber CT
Unit 180
Milpitas, CA 95035-7922
Phone (408) 432-8101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35799CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Vision PC Optometrist CurrentSince Jul 19, 2024 Accepting new patients
J Pietrantonio OD Inc Optometrist PastSince Jan 1, 2005 Accepting new patients

Locations

19459 Stevens Creek Blvd
Ste 110
Cupertino, CA 95014
Phone (408) 996-9886

233 N Santa Cruz Ave
Los Gatos, CA 95030
Phone (408) 354-9310

310 Barber Ct
Unit 180
Milpitas, CA 95035
Phone (408) 432-8101

310 Barber Ct
Bldg E
Milpitas, CA 95035

310 Barber Ct
Milpitas, CA 95035
Phone (408) 342-8101

27271 Las Ramblas
Ste 210
Mission Viejo, CA 92691

Organizations & group practices 2

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": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1508604083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 RAINWELL DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951331934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BARBER CT",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950357922",
            "telephone_number": "408-432-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HENRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milpitas, CA

Sources for this page

Verify at the official NPI Registry.