Individual provider Active NPI

Vu Nguyen, OD

  • Optometrist
  • Roseville, CA
National Provider Identifier
1760971402
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT33914-TLG Issued in CA
Practice address
1221 Pleasant Grove Blvd Ste 150
Roseville, CA 95678-7215
Phone
(916) 797-3937
NPI assigned
May 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT33914-TLG CA Primary

Addresses

Primary practice location

1221 Pleasant Grove Blvd Ste 150
Roseville, CA 95678-7215

Mailing address

9370 Bear Grass Cir
Sacramento, CA 95829-8707
Phone (408) 472-7037

Other practice location 1

1009 12th St
Sacramento, CA 95814-3901
Phone (916) 442-4927

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
I20181019001512 CA Practitioner - Optometry 6002169166 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33914CAMDClinical Psychologist
OPT33914-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Heidi Q T Pham-Murphy OD Optometrist CurrentSince Mar 15, 2023 Accepting new patients
Matin Khoshnevis MD Inc Optometrist CurrentSince Oct 12, 2023 Accepting new patients
Vista Point Eye Care Optometrist PastSince Feb 25, 2024 Accepting new patients
Nichole R. Moos, O.D. Inc Optometrist Past Accepting new patients

Locations

5773 Greenback Ln
Sacramento, CA 95841
Phone (916) 863-3143

525 Fulton Ave
Ste 300
Sacramento, CA 95825
Phone (916) 925-2020

Interoperability endpoints

  • Direct secure messaging: vnguyen@directaddress.net

Organizations & group practices 6

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": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1760971402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 BEAR GRASS CIR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958298707",
            "telephone_number": "408-472-7037",
            "fax_number": "916-442-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PLEASANT GROVE BLVD STE 150",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956787215",
            "telephone_number": "916-797-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 12th St",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958143901",
            "country_code": "US",
            "telephone_number": "916-442-4927",
            "fax_number": "916-442-4928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VU",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-08",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33914-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.