Anh Thu Nguyen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

14375 Issued in CA

Practice address

461 Skymaster Cir BLDG 650
Travis Afb, CA 94535-1909

Phone

(707) 437-4095

Fax

(707) 437-1142

NPI assigned

Oct 22, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Larsen Eye Care IncGroup PAC ID 8224084009, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

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.

• Dr Larsen Eye Care Inc

  • Optometrist
  • Layton, UT
  • NPI 1215110929

  CA

  Medicare reassignment Care Compare group NPD
• Judy Nguyen, OD, Inc.

  • Optometrist
  • Newark, CA
  • NPI 1316330780
  NPD (past)
• Judy T. Nguyen, OD

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

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1770819070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5208 JULIA BERGER CIR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945344280",
            "telephone_number": "707-437-4095",
            "fax_number": "707-437-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 SKYMASTER CIR BLDG 650",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351909",
            "telephone_number": "707-437-4095",
            "fax_number": "707-437-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANH THU",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14375",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jens Dean Nelson, D.M.D
• Vasyl Nesteryuk, DO
• Bridget Shannon Nestor-Arjun
• Jessica Newcomb, DNP-CRNA
• Sieu Ngo, O.D.
• Caroline H Nguyen, M.D.
• Hang Thi Ngoc Nguyen, RN
• Hoanvu Ngoc Nguyen, M.D.
• Huyen Nguyen, M.D.
• Trung Hoang Nguyen, PHARMD

• Optometrist in Travis Afb, CA
• Providers in Travis Afb, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.