Individual provider Active NPI

Linda Nguyen, O.D.

  • Optometrist
  • Kahului, HI
National Provider Identifier
1699772616
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
633 Issued in HI
Practice address
32 Paa St
Kahului, HI 96732-3605
Phone
(808) 877-7828
Fax
(808) 442-9764
NPI assigned
Jul 5, 2005
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 633 HI Primary

Addresses

Primary practice location

32 Paa St
Kahului, HI 96732-3605

Mailing address

32 Paa St
Kahului, HI 96732-3605
Phone (808) 877-7828

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20060214000126 HI Practitioner - Optometry 5991710048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Linda L Nguyen OD LLCGroup PAC ID 7719131598, 2 clinicians

Practice addresses (Care Compare)

32 Paa St
Kahului, HI 96732-3605
Phone (808) 877-7828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Linda L Nguyen OD LLC Optometrist CurrentSince Jul 5, 2012 Accepting new patients
Maui Eye Center LLC Optometrist PastSince Oct 1, 2006 Accepting new patients
David M Anzai OD Optometrist PastSince Sep 9, 2005 Accepting new patients
Linda L Nguyen Optometrist Past Accepting new patients

Locations

32 Paa St
Kahului, HI 96732
Phone (808) 877-7828

74 Lono Ave
Ste 101
Kahului, HI 96732
Phone (808) 877-7828

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1699772616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 PAA ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323605",
            "telephone_number": "808-877-7828",
            "fax_number": "808-442-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PAA ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323605",
            "telephone_number": "808-877-7828",
            "fax_number": "808-442-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LINDA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-05",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

Verify at the official NPI Registry.