Organization Active NPI

Tanya Optometry Corporation

Doing business as Aliso Hills Optometric Group

  • Optometrist
  • Aliso Viejo, CA
National Provider Identifier
1881081404
Registry record updated Apr 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 9953 TPG Issued in CA
Legal business name
TANYA OPTOMETRY CORPORATION
Doing business as
Aliso Hills Optometric Group
Practice address
27001 Moulton Pkwy Ste A100
Aliso Viejo, CA 92656-3626
Phone
(949) 362-6552
Fax
(949) 362-6566
NPI assigned
Apr 21, 2015
Last updated
Apr 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2015

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

Authorized official

Name
Dr. Lethuy T Nguyen, O.D.NPI 1033285689
Title
President
Phone
(949) 362-6552

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 9953 TPG CA Primary

Addresses

Primary practice location

27001 Moulton Pkwy Ste A100
Aliso Viejo, CA 92656-3626

Mailing address

27001 Moulton Pkwy Ste A100
Aliso Viejo, CA 92656-3626
Phone (949) 362-6552

Other names 1

  • Aliso Hills Optometric Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150625001642 CA Part B Supplier - Clinic/Group Practice 7113238544 Receives reassigned benefits from 1 practitioner
Practice locations: Aliso Viejo, CA

National Provider Directory

National Provider Directory

Locations

27001 Moulton Pkwy
Ste A100
Aliso Viejo, CA 92656
Phone (949) 362-6552

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1881081404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27001 MOULTON PKWY STE A100",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563626",
            "telephone_number": "949-362-6552",
            "fax_number": "949-362-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27001 MOULTON PKWY STE A100",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926563626",
            "telephone_number": "949-362-6552",
            "fax_number": "949-362-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANYA OPTOMETRY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-21",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LETHUY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-362-6552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 9953 TPG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aliso Hills Optometric Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.