Individual provider Active NPI

Vanna T Hoang, O.D

  • Optometrist
  • Anaheim, CA
National Provider Identifier
1851424071
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11892T Issued in CA
Practice address
1232 S Magnolia Ave
Anaheim, CA 92804-5116
Phone
(714) 757-4747
Fax
(714) 948-5959
NPI assigned
Mar 14, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11892T CA Primary

Addresses

Primary practice location

1232 S Magnolia Ave
Anaheim, CA 92804-5116

Mailing address

15332 Summerwood St
Westminster, CA 92683-6866
Phone (714) 757-4747

Other practice location 1

10872 Westminster Ave Ste 112
Garden Grove, CA 92843-4981
Phone (714) 636-9585

Other identifiers 2

IdentifierTypeStateIssuer
SD0011892MedicaidCA
SD11892MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040617001709 CA Practitioner - Optometry 8628052370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1232 S Magnolia Ave
Anaheim, CA 92804-5116
Phone (714) 723-0220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11892CAMDAddiction (Substance Use Disorder) Counselor
11892TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vanna Hoang OD Inc Optometrist CurrentSince Jun 1, 2016 Accepting new patients
Ngoc-Thuy Trina Nguyen OD a Professional Corporation Optometrist PastSince Sep 17, 2011 Accepting new patients
Luxottica of America Inc. Past Accepting new patients
Luxottica of America Inc Past Accepting new patients

Locations

1232 S Magnolia Ave
Anaheim, CA 92804
Phone (714) 723-0220

10872 Westminster Ave
Ste 112
Garden Grove, CA 92843
Phone (714) 636-9585

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1851424071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15332 SUMMERWOOD ST",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926836866",
            "telephone_number": "714-757-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 S MAGNOLIA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928045116",
            "telephone_number": "714-757-4747",
            "fax_number": "714-948-5959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10872 Westminster Ave Ste 112",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928434981",
            "country_code": "US",
            "telephone_number": "714-636-9585",
            "fax_number": "714-636-2465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOANG",
        "first_name": "VANNA",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11892T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0011892",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD11892",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.