Nguyen Quach OD a Professional Corporation

Primary specialty

Sports Vision OptometristTaxonomy code 152WS0006X

License

13774 Issued in CA

Legal business name

NGUYEN QUACH OD A PROFESSIONAL CORPORATION

Practice address

1880 Prairie City Rd
Ste 130
Folsom, CA 95630-9593

Phone

(916) 985-7848

Fax

(888) 789-5412

NPI assigned

Nov 21, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Nguyen Hung Quach, OD

Title

Ceo / President

Phone

(530) 723-4005

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454371200000",
    "number": "1558768374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 PRAIRIE CITY RD",
            "address_2": "STE 130",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956309593",
            "telephone_number": "916-985-7848",
            "fax_number": "888-789-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 PRAIRIE CITY RD",
            "address_2": "STE 130",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956309593",
            "telephone_number": "916-985-7848",
            "fax_number": "888-789-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NGUYEN QUACH OD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2016-02-02",
        "status": "A",
        "authorized_official_last_name": "QUACH",
        "authorized_official_first_name": "NGUYEN",
        "authorized_official_middle_name": "HUNG",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "530-723-4005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WS0006X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "CA",
            "license": "13774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NGUYEN QUACH OD A PROFESSIONAL CORPORATION",
            "identifier": "1558768374",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.