Katelyn Nguyen, OD, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

12503T Issued in CA

Legal business name

KATELYN NGUYEN, OD, INC

Practice address

10920 Garfield Ave # Ba2
South Gate, CA 90280-7502

Phone

(562) 861-9098

NPI assigned

Nov 5, 2013

Last updated

Nov 5, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Katelyn Nguyen, ODNPI 1487703427

Title

Ceo

Phone

(714) 931-4268

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katelyn Terese Nguyen, O.D.

  • Optometrist
  • South Gate, CA
  • NPI 1487703427
  Authorized official Same address or phone

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1821427394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 GARFIELD AVE # BA2",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902807502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 GARFIELD AVE # BA2",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902807502",
            "telephone_number": "562-861-9098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATELYN NGUYEN, OD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-931-4268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12503T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in South Gate, CA
• Providers in South Gate, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; 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.