Organization Active NPI

BRMP Professional Medical Corporation

Doing business as Advance Eye Center

  • Ophthalmology Physician
  • Anaheim, CA
National Provider Identifier
1770674368
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BRMP PROFESSIONAL MEDICAL CORPORATION
Doing business as
Advance Eye Center
Practice address
1314 S Euclid St
Suite 103
Anaheim, CA 92802-2079
Phone
(714) 808-9358
Fax
(714) 808-9359
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Dr. Bao-Thu Nguyen, M.D.
Title
Physician
Phone
(714) 808-9358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X CA Primary

Addresses

Primary practice location

1314 S Euclid St
Suite 103
Anaheim, CA 92802-2079

Mailing address

PO Box 9500
Anaheim, CA 92812-7500
Phone (714) 808-9358

Other identifiers 1

IdentifierTypeStateIssuer
W20498OtherMEDICARE PTAN

Other names 1

  • Advance Eye Center Doing business as

National Provider Directory

National Provider Directory

Locations

293 S Main St
Ste 100
Orange, CA 92868
Phone (714) 352-2911

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1770674368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9500",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928127500",
            "telephone_number": "714-808-9358",
            "fax_number": "714-808-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S EUCLID ST",
            "address_2": "SUITE 103",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928022079",
            "telephone_number": "714-808-9358",
            "fax_number": "714-808-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRMP PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "BAO-THU",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "714-808-9358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "W20498",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.