Henry Nguyen, OD, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

11717T Issued in CA

Legal business name

HENRY NGUYEN, OD, INC.

Practice address

23080 Alessandro Blvd
Suite 206
Moreno Valley, CA 92553-9673

Phone

(951) 656-3693

Fax

(951) 656-3825

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Henry Nguyen, O.D.

Title

President

Phone

(951) 656-3693

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Stacy Kimtho Vo, O.D

  • Optometrist
  • Redlands, CA
  • NPI 1053366393
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710045174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23080 ALESSANDRO BLVD",
            "address_2": "SUITE 206",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539673",
            "telephone_number": "951-656-3693",
            "fax_number": "951-656-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23080 ALESSANDRO BLVD",
            "address_2": "SUITE 206",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539673",
            "telephone_number": "951-656-3693",
            "fax_number": "951-656-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY NGUYEN, OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-656-3693",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11717T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Henderson, MFTI
• Paryss Henderson
• Allyson Hendricks
• Heng Therapy Services
• Jonathan Dara Heng, OTD
• Tatiana Henry
• Kimberly Henshaw, PA-C
• Gabriel Heredia
• Raul Hermano, PHARM D.
• Monica Hermosillo

• Optometrist in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.