Ryan Phat Nguyen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12632T Issued in CA

Practice address

1170 Broadway Ste 130
Chula Vista, CA 91911-2760

Phone

(619) 426-2451

Fax

(619) 426-2458

NPI assigned

Jan 18, 2007

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

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

State licenses

Practice roles

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.

• Dr Riolan Marbun OD Professional Corporation

  • Optometrist
  • San Diego, CA
  • NPI 1942489547
  NPD (past)
• Janet Nghiem,O.D. an Optometric Professional Corp.

  • Optometrist
  • Westminster, CA
  • NPI 1588751705
  NPD (past)
• Luxottica of America Inc.

  • Eyewear Supplier
  • Riverside, CA
  • NPI 1366598120
  NPD (past)
• Luxottica of America Inc

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1629121348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 HONEYBELL LN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920271849",
            "telephone_number": "858-382-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 BROADWAY STE 130",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112760",
            "telephone_number": "619-426-2451",
            "fax_number": "619-426-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "RYAN",
        "middle_name": "PHAT",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12632T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ken Thanh Nguyen
• Linh Thuy Nguyen, MD
• Michele Nguyen
• Naomi-Trang Nguyen, D.D.S.
• Nhung Nghieu Nguyen, PHARMD
• Susan T Nguyen, DDS, MSD
• Thanhha Nguyen
• Thao Thi Nguyen
• Theresa Nguyen, OD
• Thu Han Thi Nguyen

• 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 May 16, 2016; 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.