Individual provider Active NPI

Aline Nguyen, OD

  • Optometrist
  • San Jose, CA
National Provider Identifier
1912687898
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35534 Issued in CA
Practice address
1183 S de Anza Blvd
San Jose, CA 95129-3602
Phone
(408) 366-1681
NPI assigned
Jul 24, 2023
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35534 CA Primary

Addresses

Primary practice location

1183 S de Anza Blvd
San Jose, CA 95129-3602

Mailing address

1183 S de Anza Blvd
San Jose, CA 95129-3602

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
I20230908001967 CA Practitioner - Optometry 5991169971 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Bui & Le Optometry Professional Corporation Optometrist CurrentSince Aug 23, 2023 Accepting new patients
Dr. Bei Zhang Optometrist, Inc Optometrist Current Accepting new patients
Dr. Khanh Bui, O.D., P.C. Optometrist PastSince Aug 23, 2023 Accepting new patients

Locations

2722 Aborn Rd
San Jose, CA 95121
Phone (408) 223-2020

Organizations & group practices 3

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1912687898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 S DE ANZA BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 S DE ANZA BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951293602",
            "telephone_number": "408-366-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ALINE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2024-03-15",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.