Quinn Q. Nguyen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT11194TPA Issued in CA

Practice address

1111 W Robinhood Dr Ste E
Stockton, CA 95207-5626

Phone

(209) 476-7040

Fax

(209) 476-7041

NPI assigned

Jan 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

University of California - School of Optometry, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Quinn Q Nguyen Optometry Inc

  • Optometrist
  • Stockton, CA
  • NPI 1588824320
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1528038486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W ROBINHOOD DR STE E",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075626",
            "telephone_number": "209-476-7040",
            "fax_number": "209-476-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W ROBINHOOD DR STE E",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075626",
            "telephone_number": "209-476-7040",
            "fax_number": "209-476-7041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1069 W March Ln",
            "address_2": "Suite A-2",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952076210",
            "country_code": "US",
            "telephone_number": "209-951-4506",
            "fax_number": "209-951-4730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "QUINN",
        "middle_name": "Q.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-24",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT11194TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588824320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phuoc Van Nguyen, MSW
• Phuong T Nguyen I
• Phuong Trinh Jessica Thi Nguyen
• Princess Primrose Thi Nguyen
• Quan Anh Nguyen, PHARMD
• Quynh-CHI Nguyen
• Quynhnhu Dang Nguyen, PHARM. D
• Ryan Nguyen
• Ryan Nguyen, RPH
• Stephanie Nguyen

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.