Organization Active NPI

Hayward Optometry, Inc

  • Primary Care Clinic/Center
  • Hayward, CA
National Provider Identifier
1679832604
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
13747TLG Issued in CA
Legal business name
HAYWARD OPTOMETRY, INC
Practice address
865 B St
Hayward, CA 94541-5107
Phone
(510) 733-3105
Fax
(510) 733-3106
NPI assigned
May 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Authorized official

Name
Dr. Uyen Minh Nguyen, O.D.NPI 1497984777
Title
Optometrist/Owner
Phone
(510) 733-3105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 13747TLG CA Primary

Addresses

Primary practice location

865 B St
Hayward, CA 94541-5107

Mailing address

865 B St
Hayward, CA 94541-5107
Phone (510) 733-3105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080521000396 CA Part B Supplier - Clinic/Group Practice 3971672668 Receives reassigned benefits from 1 practitioner
Practice locations: Hayward, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1679832604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "865 B ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945415107",
            "telephone_number": "510-733-3105",
            "fax_number": "510-733-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 B ST",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945415107",
            "telephone_number": "510-733-3105",
            "fax_number": "510-733-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYWARD OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "UYEN",
        "authorized_official_middle_name": "MINH",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "510-733-3105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "13747TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.