Nguyen Hung Quach, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

13774 Issued in CA

Practice address

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

Phone

(916) 985-7848

Fax

(888) 789-4512

NPI assigned

Jul 27, 2009

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1609007533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 LEFEVRE CT",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956306188",
            "telephone_number": "530-723-4005",
            "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": "SUITE 130",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956309593",
            "telephone_number": "916-985-7848",
            "fax_number": "888-789-4512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUACH",
        "first_name": "NGUYEN",
        "middle_name": "HUNG",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-27",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS NPI",
            "identifier": "1558768374",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steve Provan, PHARMD
• Kaitlin Pugh
• John Alexander Puig, D.D.S
• Francis I Punzal
• Linh Puoy
• Vicentekuo Chee Quan, MD
• Eve H Quesada, LCSW
• Thalia Quesada
• Teresa Quintana
• Paola F Race, OT

• 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 Nov 5, 2015; 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.