Duong Dai Nguyen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

13699TLG Issued in CA

Practice address

5051 Canyon Crest Dr
Suite 102
Riverside, CA 92507-6035

Phone

(832) 878-6082

NPI assigned

Aug 18, 2008

Last updated

Jun 19, 2017By the provider in NPPES

Sex

Male

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Duong D Nguyen, Inc

  dba Vision Enhancement Center of Optometry

  • Optometrist
  • Riverside, CA
  • NPI 1275808115
  Medicare reassignment NPD Authorized official
• Jonathan Duong O.D., Inc.

  dba Laguna Coast Optometry

  • Vision Therapy Optometrist
  • Laguna Beach, CA
  • NPI 1700823283
  NPD (past)

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497830400000",
    "number": "1841446176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BROADWAY ST",
            "address_2": "STE 105",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926511816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5051 CANYON CREST DR",
            "address_2": "SUITE 102",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925076035",
            "telephone_number": "832-878-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DUONG",
        "middle_name": "DAI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2017-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7271T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13699TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danh Tien Nguyen, MD
• Dao Nguyen
• Dennis Nguyen
• Derek Nguyen, MD
• Diep Nguyen
• Dustin Nguyen, DO
• Dzien V Nguyen, DDS
• Edlyn Nguyen, O.T.
• Elizabeth Hoangoanh Nguyen, PHARM.D.
• Ethan-Quan H Nguyen, MD

• Optometrist in Riverside, CA
• Providers in Riverside, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.