Organization Active NPI

Nvision Optometry, a Professional Corp.

  • Optometrist
  • Garden Grove, CA
National Provider Identifier
1780056325
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT9686TPG Issued in CA
Legal business name
NVISION OPTOMETRY, A PROFESSIONAL CORP.
Doing business as
iExam Optometry
Practice address
9856 Westminster Ave
Ste.125
Garden Grove, CA 92844-2907
Phone
(714) 530-0751
NPI assigned
Oct 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Dr. Ngocthuy Trina Nguyen, O.D.
Title
President
Phone
(714) 530-0751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT9686TPG CA Primary

Addresses

Primary practice location

9856 Westminster Ave
Ste.125
Garden Grove, CA 92844-2907

Mailing address

9856 Westminster Ave
Ste.125
Garden Grove, CA 92844-2907
Phone (714) 530-0751

Other identifiers 1

IdentifierTypeStateIssuer
SD0096861MedicaidCA

Other names 1

  • iExam Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160808002223 CA Part B Supplier - Clinic/Group Practice 3678867074 Receives reassigned benefits from 2 practitioners
Practice locations: Garden Grove, CA

National Provider Directory

National Provider Directory

Locations

9856 Westminster Ave
Ste 125
Garden Grove, CA 92844
Phone (714) 530-0751

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1780056325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9856 WESTMINSTER AVE",
            "address_2": "STE.125",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442907",
            "telephone_number": "714-530-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9856 WESTMINSTER AVE",
            "address_2": "STE.125",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928442907",
            "telephone_number": "714-530-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NVISION OPTOMETRY, A PROFESSIONAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "NGOCTHUY",
        "authorized_official_middle_name": "TRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-530-0751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT9686TPG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0096861",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iExam Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.