Nikki Loan Nguyen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10775T Issued in CA

Practice address

13916 Brookhurst St Ste F
Garden Grove, CA 92843-4331

Phone

(714) 530-4167

Fax

(714) 530-4260

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Southern California College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optima Vision Optometry IncGroup PAC ID 5294781548, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Optima Vision Optometry, Inc.

  • Optometrist
  • Garden Grove, CA
  • NPI 1831267764
  Medicare reassignment Care Compare group NPD
• Phi Doan, O.D.

  • Optometrist
  • Garden Grove, CA
  • NPI 1194878926
  Medicare reassignment
• Main Street Optometry

  • Optometrist
  • Santa Ana, CA
  • NPI 1326215492
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1912089442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13916 BROOKHURST ST STE F",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434331",
            "telephone_number": "714-889-0899",
            "fax_number": "714-530-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13916 BROOKHURST ST STE F",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928434331",
            "telephone_number": "714-530-4167",
            "fax_number": "714-530-4260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1509 N Main St",
            "address_2": "#J",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927017418",
            "country_code": "US",
            "telephone_number": "714-542-2226",
            "fax_number": "714-550-7254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NIKKI",
        "middle_name": "LOAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10775T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912089442",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ngoc Huyen Thi Nguyen Jr., R.N
• Ngoc-Thuy Trina Nguyen, O.D.
• Nhan X Nguyen, M.D.
• Nhat Anh Nguyen
• Nicole Ha-Tien Nguyen
• Nina Nguyen
• Oanh Nguyen
• Olivia Nguyen, DDS
• Olivia Nguyen
• Paul Hoa Nguyen, PH.D., L.AC.

• Optometrist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.