Mai Huong Thi Nguyen, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

CA10388T Issued in CA

Practice address

13202 Harbor Blvd
Garden Grove, CA 92843-1737

Phone

(714) 534-3100

NPI assigned

Dec 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Southern California College of Optometry, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optima Vision Optometry IncGroup PAC ID 5294781548, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Optima Vision Optometry, Inc.

  • Optometrist
  • Garden Grove, CA
  • NPI 1831267764
  Medicare reassignment Care Compare group NPD Authorized official
• Optima Vision Optometry Inc

  • Optometrist
  • Garden Grove, CA
  • NPI 1568657013
  NPD

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1811050768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13202 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431737",
            "telephone_number": "714-534-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13202 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431737",
            "telephone_number": "714-534-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MAI HUONG",
        "middle_name": "THI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA10388T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0103880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loc Tan Nguyen, D.C.
• Loc Vinh Nguyen, PHARM.D.
• Long Bao Nguyen
• Lyleanna K Nguyen, MSN, PMHNP-BC
• Lyn Nguyen
• Mai Thi Thi Nguyen, DDS
• Maichi Thi Nguyen, PHARMD
• Maria Thanh Nguyen, M.D.
• Mark V. Hung Nguyen, ED.D. PSY.D.
• Martin Nguyen

• Optometrist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.