NPIMap

Organization Active NPI

Thuy-Trang Nguyen OD, Inc.

Doing business as Eye Club Optometry

  • Optometrist
  • San Jose, CA
National Provider Identifier
1689184780
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14868TLG Issued in CA
Legal business name
THUY-TRANG NGUYEN OD, INC.
Doing business as
Eye Club Optometry
Practice address
874 Blossom Hill Rd Ste C
San Jose, CA 95123-2725
Phone
(408) 226-8666
Fax
(408) 226-2382
NPI assigned
Oct 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Authorized official

Name
Dr. Thuy-Trang Nguyen, O.D.NPI 1922426097
Title
Optometrist
Phone
(408) 226-8666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 14868TLG CA Primary

Addresses

Primary practice location

874 Blossom Hill Rd Ste C
San Jose, CA 95123-2725

Mailing address

874 Blossom Hill Rd Ste C
San Jose, CA 95123-2725
Phone (408) 226-8666

Other identifiers 1

IdentifierTypeStateIssuer
1922426097MedicaidCA

Other names 1

  • Eye Club Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

874 Blossom Hill Rd
#C
San Jose, CA 95123
Phone (408) 226-8666

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1689184780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 BLOSSOM HILL RD STE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951232725",
            "telephone_number": "408-226-8666",
            "fax_number": "408-226-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 BLOSSOM HILL RD STE C",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951232725",
            "telephone_number": "408-226-8666",
            "fax_number": "408-226-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUY-TRANG NGUYEN OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THUY-TRANG",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "408-226-8666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14868TLG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922426097",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Club Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.