Individual provider Active NPI

Liz Nguyen, O.D.

  • Optometrist
  • Brea, CA
National Provider Identifier
1528039740
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11374T Issued in CA
Practice address
110 W Birch St
Unit 3
Brea, CA 92821-4956
Phone
(714) 529-9907
Fax
(714) 529-9577
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11374T CA Primary

Addresses

Primary practice location

110 W Birch St
Unit 3
Brea, CA 92821-4956

Mailing address

110 W Birch St
Unit 3
Brea, CA 92821-4956
Phone (714) 529-9907

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
I20100507000274 CA Practitioner - Optometry 1153482567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visual Effects Optometry IncGroup PAC ID 4981765393, 2 clinicians

Practice addresses (Care Compare)

110 W Birch St
Suite 3
Brea, CA 92821-4956
Phone (714) 529-9907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Visual Effects Optometry Inc Optometrist CurrentSince Mar 19, 2008 Accepting new patients

Locations

110 W Birch St
Ste 3
Brea, CA 92821
Phone (714) 529-9907

Organizations & group practices 1

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1528039740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W BIRCH ST",
            "address_2": "UNIT 3",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214956",
            "telephone_number": "714-529-9907",
            "fax_number": "714-529-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W BIRCH ST",
            "address_2": "UNIT 3",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214956",
            "telephone_number": "714-529-9907",
            "fax_number": "714-529-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LIZ",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11374T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brea, CA

Sources for this page

Verify at the official NPI Registry.