Optima Vision Optometry, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

OPTIMA VISION OPTOMETRY, INC.

Practice address

13192 Harbor Blvd
Garden Grove, CA 92843

Phone

(714) 534-3100

Fax

(714) 534-3108

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mai Huong Thi Nguyen, ODNPI 1811050768

Title

President

Phone

(714) 534-3100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Optima Vision Optometry Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Optima Vision Optometry Inc

  • Optometrist
  • Garden Grove, CA
  • NPI 1568657013
  NPD tax ID

Locations

Practitioners 3

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

• Mai Huong Thi Nguyen, OD

  • Optometrist
  • Garden Grove, CA
  • NPI 1811050768
  Medicare reassignment Care Compare group NPD Authorized official
• Nikki Loan Nguyen, O.D.

  • Optometrist
  • Garden Grove, CA
  • NPI 1912089442
  Medicare reassignment Care Compare group NPD
• Tiffany Thuy Pham, O.D.

  • Optometrist
  • Garden Grove, CA
  • NPI 1659413284
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1831267764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13192 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92843",
            "telephone_number": "714-534-3100",
            "fax_number": "714-534-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13192 HARBOR BLVD",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92843",
            "telephone_number": "714-534-3100",
            "fax_number": "714-534-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA VISION OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MAI HUONG",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-534-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgina Ontiveros
• Siena Ontiveros
• Preston Onwu
• Matthew B Opoien, AMFT CA#130939
• Optima Vision Optometry Inc
• Optometric Specialties Inc
• Orange Acu-Chiro Center
• Orange Coast Medical Inc.
• Orange Coast Medical Services Inc.
• Orange County Acupuncture Clinic

• 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 Jun 5, 2008; 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.