Individual provider Active NPI

Christie Nguyen

  • Optometrist
  • Concord, CA
National Provider Identifier
1740792993
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33838TLG Issued in CA
Practice address
901 Sunvalley Blvd Ste 110
Concord, CA 94520-5816
Phone
(925) 676-5638
NPI assigned
Oct 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 33838TLG CA Primary

Addresses

Primary practice location

901 Sunvalley Blvd Ste 110
Concord, CA 94520-5816

Mailing address

1569 Brookside Dr
San Leandro, CA 94577-1301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20181119002487 CA Practitioner - Optometry 0840544375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Ophthalmic Medical CorporationGroup PAC ID 8426226655, 3 clinicians

Practice addresses (Care Compare)

276 Dolores Ave
San Leandro, CA 94577-5008
Phone (510) 614-1515

Merit-based Incentive Payment System (MIPS)

Final score
94.23 of 100Reported as group
Quality
93.53
Improvement activities
40
Cost
74.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33838CAMDSocial Worker
33838TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Ophthalmic Medical Corporation CurrentSince Oct 12, 2018 Accepting new patients
For Your Eyes Only Ophthalmic Medical Corp. Optometrist Current Accepting new patients
For Your Eyes Only Ophthalmic Medical Corp. Optometrist CurrentSince Aug 4, 2019 Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients

Locations

2687 Castro Valley Blvd
Castro Valley, CA 94546
Phone (510) 538-3937

20400 Lake Chabot Rd
Ste 302
Castro Valley, CA 94546
Phone (510) 614-1515

1401 Willow Pass Rd
Ste 100
Concord, CA 94520
Phone (510) 614-1515

1220 Concord Ave
Ste 290
Concord, CA 94520
Phone (800) 339-2733

276 Dolores Ave
San Leandro, CA 94577
Phone (510) 614-1515

276 Dolores Ave
Ste 300
San Leandro, CA 94577
Phone (800) 339-2733

1811 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 933-1344

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1740792993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 BROOKSIDE DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945771301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 SUNVALLEY BLVD STE 110",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205816",
            "telephone_number": "925-676-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHRISTIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33838TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

Verify at the official NPI Registry.