Individual provider Active NPI

Sylvester Nguyen

  • Optometrist
  • Modesto, CA
National Provider Identifier
1861844680
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
33381 Issued in CA
Practice address
3200 Sisk Rd
Modesto, CA 95356-0546
Phone
(510) 332-3175
NPI assigned
Jul 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CA298165 CA
Optometrist 152W00000X 33381 CA Primary

Addresses

Primary practice location

3200 Sisk Rd
Modesto, CA 95356-0546

Mailing address

521 S Ham LN
Ste a
Lodi, CA 95242-3528
Phone (209) 334-5886

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
I20161024000728 CA Practitioner - Optometry 4486932621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

501 J St
Sacramento, CA 95814-2325
Phone (916) 497-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CA298165CAMDOptometrist
33381CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Eye Medical Group, Inc. CurrentSince Mar 18, 2018 Accepting new patients
Permanente Medical Group Inc CurrentSince Apr 14, 2022 Accepting new patients
Permanente Medical Group, Inc CurrentSince Apr 14, 2022 Accepting new patients
Delta Eye Medical Group, Inc. Optometrist CurrentSince Mar 18, 2018 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Vision Value Optometrist PastSince Feb 21, 2021 Accepting new patients
California Physicians Eyecare Group, P.C. Optometrist Past Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

521 S Ham Ln
Ste A
Lodi, CA 95242
Phone (209) 334-5886

1800 Harrison St
Fl 7
Oakland, CA 94612

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

1617 Saint Marks Plz
Ste D
Stockton, CA 95207
Phone (209) 478-1797

2160 W Grant Line Rd
Ste 100
Tracy, CA 95377
Phone (209) 835-2227

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Interoperability endpoints

  • Direct secure messaging: snguyen15518@hpmg.direct-ci.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1861844680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 S HAM LN",
            "address_2": "STE A",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952423528",
            "telephone_number": "209-334-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 SISK RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953560546",
            "telephone_number": "510-332-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SYLVESTER",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA298165",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "33381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.