Eyesmith, a Professional Optometry Corporation

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYESMITH, A PROFESSIONAL OPTOMETRY CORPORATION

Practice address

4029 43Rd St Ste 300
San Diego, CA 92105-8537

Phone

(619) 284-3937

Fax

(619) 284-3938

NPI assigned

Mar 22, 2024

Organization subpart

Yes

Parent organization

EYESMITH, A PROFESSIONAL OPTOMETRY CORPORATIONAs reported in NPPES

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

Authorized official

Name

Dr. Thanh Nguyen, O.D.NPI 1992813323

Title

Chief Executive Officer

Phone

(619) 600-1161

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Eyesmith a Professional Optometry Corporation

Locations

Practitioners 6

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

• Thanh T Nguyen, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1992813323
  NPD Authorized official
• Steven Giang

  • Optometrist
  • San Diego, CA
  • NPI 1730710104
  NPD
• Kevin Hoang, OD

  • Optometrist
  • San Diego, CA
  • NPI 1790339216
  NPD
• Doan-Trang Ta-Hopkins, OD

  • Optometrist
  • San Marcos, CA
  • NPI 1518381045
  NPD
• Stephanie Thu Le

  • Student in an Organized Health Care Education/Training Program
  • San Diego, CA
  • NPI 1407122005
  NPD (past)
• Jasmine Phuong Nguyen, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1497896922
  NPD (past)

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1649020702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10956 PORTOBELO DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921241181",
            "telephone_number": "858-610-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 43RD ST STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921058537",
            "telephone_number": "619-284-3937",
            "fax_number": "619-284-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESMITH, A PROFESSIONAL OPTOMETRY CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYESMITH, A PROFESSIONAL OPTOMETRY CORPORATION",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THANH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "619-600-1161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992813323",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eye Studio Optometry Inc
• Eyecare for Vision Optometry, Inc
• Eyeloha Eye Care Optometry
• Eyelux Optometry
• Eyes for Kids and Teens
• Eyexam of California Inc
• Lisa Todd Eyler, PH.D.
• Mario Eduardo Eyzaguirre, M.D.
• Ikemefuna Ikem Ezedi, DO
• Sean Michael Ezell, DPT

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.