Prospective Vision Optometric Corp

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PROSPECTIVE VISION OPTOMETRIC CORP

Practice address

7250 Carson Blvd
Long Beach, CA 90808-2358

Phone

(562) 377-0941

Fax

(562) 330-2687

NPI assigned

May 28, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jenny Nguyen, ODNPI 1134662695

Title

President

Phone

(562) 377-0941

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenny Nguyen, O.D.

  • Optometrist
  • Downey, CA
  • NPI 1134662695
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1622160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1639745821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 CARSON BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082358",
            "telephone_number": "562-377-0941",
            "fax_number": "562-330-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 CARSON BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082358",
            "telephone_number": "562-377-0941",
            "fax_number": "562-330-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSPECTIVE VISION OPTOMETRIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-28",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-377-0941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CB319343",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.