Theresa Nguyen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

35530 Issued in CA

Practice address

1741 Eastlake Pkwy Ste 101
Chula Vista, CA 91915-2032

Phone

(619) 421-6600

NPI assigned

Jul 17, 2023

Last updated

Aug 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keddington & Kalra Optometrists Apc

  dba Otay Ranch Eyeworks Optometry

  • Optometrist
  • Chula Vista, CA
  • NPI 1376793828
  Medicare reassignment NPD
• Michelle King OD Inc a Professional Corporation

  • Optometrist
  • Poway, CA
  • NPI 1609180603
  Medicare reassignment NPD
• Keddington & Kalra Optometrists Apc

  dba Eye Care Optometry Associates

  • Optometrist
  • Spring Valley, CA
  • NPI 1538204441
  NPD
• Keddington & Kalra Optometrists Apc

  dba Eye Care Optometry Associates

  • Optometrist
  • National City, CA
  • NPI 1780694430
  NPD

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1609555713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 EASTLAKE PKWY STE 101",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919152032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 EASTLAKE PKWY STE 101",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919152032",
            "telephone_number": "619-421-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THERESA",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nhung Nghieu Nguyen, PHARMD
• Ryan Phat Nguyen, O.D.
• Susan T Nguyen, DDS, MSD
• Thanhha Nguyen
• Thao Thi Nguyen
• Thu Han Thi Nguyen
• Tiffany Kieu Thi Nguyen
• Tina Nguyen, PHARMD
• Tony Nguyen
• Tram Mai Nguyen, O.D.

• Optometrist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.