Individual provider Active NPI

Anwell Nguyen, OD

  • Optometrist
  • Hayward, CA
National Provider Identifier
1750138897
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT35655-TLG Issued in CA
Practice address
28163 Harvey Ave
Hayward, CA 94544-5737
Phone
(510) 828-6197
NPI assigned
May 6, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 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 OPT35655-TLG CA Primary

Addresses

Primary practice location

28163 Harvey Ave
Hayward, CA 94544-5737

Mailing address

28163 Harvey Ave
Hayward, CA 94544-5737
Phone (510) 828-6197

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
I20240529002447 CA Practitioner - Optometry 4981046430

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minati Desai Acharya O D Optometric CorporationGroup PAC ID 3870906282, 2 clinicians

Practice addresses (Care Compare)

117 Pelton Ctr Way
San Leandro, CA 94577-4815
Phone (510) 895-2116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT35655-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Minati Desai Acharya, O.D., Optometric Corporation Optometrist CurrentSince May 15, 2024 Accepting new patients

Locations

117 Pelton Center Way
San Leandro, CA 94577
Phone (510) 895-2116

Organizations & group practices 1

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": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1750138897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28163 HARVEY AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945445737",
            "telephone_number": "510-828-6197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28163 HARVEY AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945445737",
            "telephone_number": "510-828-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANWELL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35655-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.