Individual provider Active NPI

Bach-Kim Nguyen, O.D.

  • Optometrist
  • Walnut Creek, CA
National Provider Identifier
1942235734
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10544T Issued in CA
Practice address
1844 San Miguel Dr
Suite 312
Walnut Creek, CA 94596-4962
Phone
(925) 934-4313
Fax
(925) 943-1907
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10544T CA Primary
Vision Therapy Optometrist 152WV0400X 10544T CA

Addresses

Primary practice location

1844 San Miguel Dr
Suite 312
Walnut Creek, CA 94596-4962

Mailing address

1844 San Miguel Dr
Suite 312
Walnut Creek, CA 94596-4962
Phone (925) 934-4313

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
I20100728000628 CA Practitioner - Optometry 3072646017 Reassigns benefits to 1 organization
Receives reassigned benefits from 2 practitioners
Practice locations: Vallejo, CA; Walnut Creek, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1844 San Miguel Dr
Suite 312
Walnut Creek, CA 94596-4963
Phone (925) 934-4313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10544CAMDAddiction (Substance Use Disorder) Counselor
10544TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Walnut Creek Optometry Group Optometrist CurrentSince Aug 13, 2023 Accepting new patients
Vallejo Optometry Group Optometrist PastSince Mar 1, 2002 Accepting new patients

Locations

2103 Redwood St
Ste 100
Vallejo, CA 94590
Phone (707) 554-1773

1844 San Miguel Dr
Ste 312
Walnut Creek, CA 94596
Phone (925) 934-4313

Interoperability endpoints

  • Direct secure messaging: bach-kim.nguyen@direct.revolutionehr.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1942235734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR",
            "address_2": "SUITE 312",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964962",
            "telephone_number": "925-934-4313",
            "fax_number": "925-943-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR",
            "address_2": "SUITE 312",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964962",
            "telephone_number": "925-934-4313",
            "fax_number": "925-943-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BACH-KIM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10544T",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "10544T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.