Active NPI
Hanh Judy Ngoc Nguyen, O.D.
- Optometrist
- Manteca, CA
National Provider Identifier
1588911820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 14278
- Practice address
- 158 N Maple Ave
Manteca, CA 95336 - Phone
- (209) 823-2107
- NPI assigned
- Aug 6, 2012
- Last updated
- Jan 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 14278 | CA | Primary |
Addresses
Primary practice location
158 N Maple Ave
Manteca, CA 95336
Mailing address
158 N Maple Ave
Manteca, CA 95336-4503
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
158 N Maple Ave
Manteca, CA 95336-4503
Phone (209) 815-9820
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14278 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veyes Optometry Inc | Optometrist | Current | Accepting new patients |
Locations
158 N Maple Ave
Manteca, CA 95336
Phone (209) 239-3504
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610064000000",
"number": "1588911820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 N MAPLE AVE",
"city": "MANTECA",
"state": "CA",
"postal_code": "953364503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 N MAPLE AVE",
"city": "MANTECA",
"state": "CA",
"postal_code": "95336",
"telephone_number": "209-823-2107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "HANH JUDY",
"middle_name": "NGOC",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-06",
"last_updated": "2021-01-08",
"certification_date": "2020-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "14278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.