Active NPI
Thy Thy Nguyen, O.D.
- Optometrist
- Garden Grove, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 12746T
- Practice address
- 12828 Harbor Blvd Ste 330
Garden Grove, CA 92840-5834 - Phone
- (714) 534-8100
- Fax
- (714) 534-1345
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 12746T | CA | Primary |
Addresses
Primary practice location
12828 Harbor Blvd Ste 330
Garden Grove, CA 92840-5834
Mailing address
100 E California Blvd
Pasadena, CA 91105-3205
Phone (626) 269-5371
Other practice location 1
1640 Newport Blvd Ste 220
Costa Mesa, CA 92627-3786
Phone (949) 876-5046
Other practice location 2
18582 Main St
Huntington Beach, CA 92648-1701
Phone (714) 843-5700
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11525 Brookshire Ave
201A
Downey, CA 90241-4982
Phone (562) 862-6200
12828 Harbor Blvd
Suite 330
Garden Grove, CA 92840-5834
Phone (714) 534-8100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12746T | CA | MD | Optometrist |
| 12746 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Institute of California Medical Group, a California Medical Par | Optometrist | Current | Accepting new patients |
| Retina Institute of California Medical Group, a California Medical Par | Optometrist | Current | Accepting new patients |
| Memorial Medical Group Inc | Past | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients | |
| Luxottica of America Inc. | Past | Accepting new patients |
Locations
500 S Anaheim Hills Rd
Ste 234
Anaheim, CA 92807
Phone (714) 282-5437
288 N Santa Anita Ave
Ste 101
Arcadia, CA 91006
288 N Santa Anita Ave
Ste 403
Arcadia, CA 91006
Phone (626) 574-0009
9500 Stockdale Hwy
Ste 108
Bakersfield, CA 93311
Phone (661) 663-8500
1640 Newport Blvd
Ste 220
Costa Mesa, CA 92627
Phone (949) 650-4362
11525 Brookshire Ave
Downey, CA 90241
Phone (562) 861-0954
1950 Sunny Crest Dr
Ste 3200
Fullerton, CA 92835
Phone (714) 278-1834
12828 Harbor Blvd
Ste 330
Garden Grove, CA 92840
Phone (714) 534-8100
12828 Harbor Blvd
Ste 305
Garden Grove, CA 92840
Phone (714) 534-8100
18582 Main St
Huntington Beach, CA 92648
Phone (714) 843-5700
44815 Fig Ave
Lancaster, CA 93534
Phone (661) 206-8469
100 E California Blvd
Pasadena, CA 91105
Phone (626) 568-8838
1360 W 6th St
Ste 165
San Pedro, CA 90732
Phone (310) 241-1350
1403 N Tustin Ave
Ste 399
Santa Ana, CA 92705
Phone (714) 884-3961
3440 Lomita Blvd
Ste 100
Torrance, CA 90505
Phone (310) 784-0644
14501 Magnolia St
Ste 103
Westminster, CA 92683
Phone (714) 594-7575
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
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.
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- NPI 1760541569
Optometrist
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dba Acuity Eye Group
- Ophthalmology Physician
- Garden Grove, CA
- NPI 1467845545
Optometrist
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1750490413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E CALIFORNIA BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053205",
"telephone_number": "626-269-5371",
"fax_number": "265-772-1006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12828 HARBOR BLVD STE 330",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928405834",
"telephone_number": "714-534-8100",
"fax_number": "714-534-1345"
}
],
"practiceLocations": [
{
"address_1": "1640 Newport Blvd Ste 220",
"address_purpose": "LOCATION",
"city": "Costa Mesa",
"state": "CA",
"postal_code": "926273786",
"country_code": "US",
"telephone_number": "949-876-5046",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18582 Main St",
"address_purpose": "LOCATION",
"city": "Huntington Beach",
"state": "CA",
"postal_code": "926481701",
"country_code": "US",
"telephone_number": "714-843-5700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "THY",
"middle_name": "THY",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "12746T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.