Active NPI
To-Quyen Thi Nguyen, O.D.
- Optometrist
- Santa Clara, CA
National Provider Identifier
1902957202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 10721T
- Practice address
- 2855 Stevens Creek Blvd
Valley Fair Mall Ste 1001
Santa Clara, CA 95050-6709 - Phone
- (408) 249-0705
- Fax
- (408) 249-2862
- NPI assigned
- Jan 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 10721T | CA | Primary |
Addresses
Primary practice location
2855 Stevens Creek Blvd
Valley Fair Mall Ste 1001
Santa Clara, CA 95050-6709
Mailing address
152 Eastridge Mall
Estridge Mall
San Jose, CA 95122-1427
Phone (408) 270-5424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10721T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc. | Past | Accepting new patients | |
| Luxottica of America Inc. | Past | Accepting new patients | |
| Pearle Visioncare, Inc | Past | Accepting new patients | |
| Pearle Visioncare, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902957202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 EASTRIDGE MALL",
"address_2": "ESTRIDGE MALL",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951221427",
"telephone_number": "408-270-5424",
"fax_number": "408-270-6176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 STEVENS CREEK BLVD",
"address_2": "VALLEY FAIR MALL STE 1001",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950506709",
"telephone_number": "408-249-0705",
"fax_number": "408-249-2862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TO-QUYEN",
"middle_name": "THI",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "10721T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.