Judy Nguyen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14043-T Issued in CA

Practice address

6247 Jarvis Ave
Newark, CA 94560-1212

Phone

(510) 494-8880

Fax

(510) 494-8882

NPI assigned

Jul 29, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Optometry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Judy Nguyen OD IncGroup PAC ID 9931429313, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Judy Nguyen, OD, Inc.

  • Optometrist
  • Newark, CA
  • NPI 1316330780
  Medicare reassignment Care Compare group NPD Authorized official
• Judy Nguyen, OD, Inc.

  • Optometrist
  • Saratoga, CA
  • NPI 1083440721
  NPD Authorized official
• Judy T. Nguyen, OD

  • Optometrist
  • Newark, CA
  • NPI 1437457892
  NPD (past) Authorized official

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1760796908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6247 JARVIS AVE",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945601212",
            "telephone_number": "408-499-2719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6247 JARVIS AVE",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945601212",
            "telephone_number": "510-494-8880",
            "fax_number": "510-494-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JUDY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14043-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "12215856",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF OPTOMETRY LICENSE #",
            "identifier": "14043-T",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE OF CALIFORNIA",
            "identifier": "SD0140430",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kason NG
• Duy Quang Ngo
• Elaine Ngo, PA
• Hudson Ngo
• Binh Nguyen, PHARMD
• Linh Nguyen, O.D.
• Linh Ngoc Nguyen, PH.D.
• Scott Hien Gia Nguyen
• Stephanie Thaovi Nguyen, PHARMD
• Tran N Nguyen, PA-C

• Optometrist in Newark, CA
• Providers in Newark, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; 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.

Verify at the official NPI Registry.