Individual provider Active NPI

Thy Thy Nguyen, O.D.

  • Optometrist
  • Garden Grove, CA
National Provider Identifier
1750490413
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12746T Issued in CA
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

Updated by the provider on Nov 13, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090601000526 CA Practitioner - Optometry 7315096989 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
12746TCAMDOptometrist
12746CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Institute of California Medical Group, a California Medical Par Optometrist CurrentSince Nov 17, 2024 Accepting new patients
Retina Institute of California Medical Group, a California Medical Par Optometrist CurrentSince Jul 1, 2019 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.

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

Verify at the official NPI Registry.