Active NPI
Anh Thuy Thi Duong, O.D.
- Optometrist
- Anaheim, CA
National Provider Identifier
1518022466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11397
- Practice address
- 2656 W la Palma Ave
Anaheim, CA 92801-2601 - Phone
- (714) 995-7700
- Fax
- (714) 995-0534
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 11397 | CA | Primary |
Addresses
Primary practice location
2656 W la Palma Ave
Anaheim, CA 92801-2601
Mailing address
74 Archipelago Dr
Newport Beach, CA 92657-2106
Phone (949) 734-9189
Other names 1
- Anh Thuy Thi Ta
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11397 | CA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518022466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 ARCHIPELAGO DR",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926572106",
"telephone_number": "949-734-9189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2656 W LA PALMA AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012601",
"telephone_number": "714-995-7700",
"fax_number": "714-995-0534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "ANH",
"middle_name": "THUY THI",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "11397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANH",
"last_name": "TA",
"middle_name": "THUY THI",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.